基于HAPA健康行为的社区管理对老年慢性阻塞性肺气肿患者健康行为、自我效能感及心理弹性的影响

Effects of community management based on HAPA health behavior on self-efficacy,behavior and mental resilience in elderly patients with chronic obstructive emphysema

目的探讨健康行动过程取向理论(HAPA)指导下的社区管理对老年慢性阻塞性肺气肿患者的自我效能、健康行为和心理弹性的影响。方法将我科127例老年慢性阻塞性肺气肿患者作为研究对象,随机分为两组。对照组63例进行精细化社区管理,观察组64例在此基础上给予基于HAPA构建的健康行为干预策略,对比两组患者健康行为、自我效能、健康行为及心理弹性。结果干预后观察组患者HPL各项、GSES各项评分及总分高于对照组,且观察组患者乐观性、力量性和坚韧性评分均高于对照组(P<0.05)。结论基于HAPA健康行为的社区管理可以增强老年慢性阻塞肺气肿患者的自我效能感,提高心理弹性,促进患者健康行为的发展。

Objective To investigate the effects of community management on self-efficacy,health behavior and mental resilience in elderly patients with chronic obstructive emphysema under the guidance of health action process orientation theory(HAPA)health behavior.Methods 127 cases of aged patients with chronic obstructive emphysema in our department were randomly divided into two groups.63 patients in the control group were given fine community management,and 64 patients in the observation group were given HAPA-based health behavior intervention strategy on this basis.The health behavior,self-efficacy,health behavior and mental resilience of patients in the two groups were compared.Results After intervention,the scores and total scores of HPL and GSES in the observation group were higher than those in the control group,and the scores of optimism,strength and toughness in the observation group were higher than those in the control group(P<0.05).Conclusion Community management based on HAPA health behavior can enhance self-efficacy,improve mental resilience and promote the development of health behavior in elderly patients with chronic obstructive emphysema.