BCW理论的出院计划在PCI术后患者健康行为中的应用研究

Study on the Application of Discharge Planning of BCW Theory in Postoperative PCI Patients’Health Behavior

探索以行为改变轮(Behaviour Change Wheel,BCW)理论为框架的出院计划方案在PCI术后患者健康促进生活方式中的影响。采用类实验方法对浙江省湖州市第一人民医院PCI术后患者进行干预,试验组实施BCW理论的出院计划方案,对照组采用常规护理,比较两组患者干预前后健康促进生活方式。通过3个月的干预,试验组较对照组患者健康促进生活方式总分及各维度得分显著提升(P<0.05),且吸烟、饮酒例数有所下降。PCI术后患者的健康行为能够在BCW理论指导的出院计划方案干预下得到有效促进。

To explore the influence of discharge planning program based on behavior change wheel(BCW)the-ory as the framework on the health promotion lifestyle of patients after percutaneous coronary intervention(PCI).The quasi-experimental method was used to intervene the postoperative PCI patients in the First People’s Hospital of Huzhou City,Zhejiang Province,the experimental group implemented the discharge planning program of BCW theory,the control group received routine nursing care,and the health promotion lifestyle of the two groups of pa-tients was compared before and after intervention.After 3 months of intervention,the total score of health promotion lifestyle and scores of all dimensions of patients in the experimental group were significantly increased compared with the control group(P<0.05),and the number of smoking and drinking cases decreased.The health behavior of postoperative PCI patients can be effectively promoted by the intervention of discharge planning program guided by the BCW theory.