健康行为改善常规的概念分析

A concept analysis of routines for improving health behaviors

目的慢性病患者常常有不健康的生活习惯,他们需要明确的指导,以建立和维持健康行为改善常规。本研究旨在根据文献中健康行为改善常规的应用情况,对其概念进行综合定义。方法于2022年1一5月,检索CINAHL、Medline、Scopus和谷歌学术中包含健康行为改善情景下常规的定义的英文文献,未限定发表日期。采用系统分析方法和Rodgers演化概念分析法,描述健康行为改善常规的属性、前置因素和后续影响,形成该概念的定义。结果共纳人24篇文章。改善健康行为常规概念的属性为重复的模式、患者的可控制性、以目标为导向的健康及融入整个生活方式。前置因素为个体特征和环境因素。后续影响为个体和环境层面的心理、身体和社会健康。结论健康行为改善常规的明确定义可为未来研究提供启发,并为支持慢性病患者建立和保持健康生活习惯的临床护理干预提供依据,从而改善患者结局。

Objective:Chronic disease patients often have unhealthy routines,especially when away from health care professionals.These patients need clear guidance about establishing and maintaining routines.This study aimed to synthesize a definition of the concept of routines for improving health behaviors based on its uses in the literature.Methods:We searched CINAHL,Medline,Scopus,and Google Scholar from January to May,2022 for articles that included definitions of routines in the context of improving health behavior.We applied no date restriction.The systematic analytic method and Rodgers’evolutionary concept analysis method were used.We charted the attributes,antecedents,and consequences of routines for improving health behaviors,analyzed their uses in the literature,and synthesized the results in a definition of the concept.Result:At total of 24 articles were included.Attributes of the concept were repeated patterns,controllable by the patient,goal-oriented health,and integration into an overarching lifestyle.Antecedents were individual characteristics and environmental factors.Consequences were psychological,physical,and social well-being at individual and environmental levels.Conclusion:This clarified definition of routines for improving health behaviors will provide a starting point for future research and,eventually,a basis for clinical nursing interventions to support patients in developing and maintaining healthy routines to promote better patient outcomes.