Evaluation of the effects of health education interventions for hypertensive patients based on the health belief model

BACKGROUND Hypertension is a major risk factor for cardiovascular disease and stroke,and its prevalence is increasing worldwide.Health education interventions based on the health belief model(HBM)can improve the knowledge,attitudes,and behaviors of patients with hypertension and help them control their blood pressure.AIM To evaluate the effects of health education interventions based on the HBM in patients with hypertension in China.METHODS Between 2021 and 2023,140 patients with hypertension were randomly assigned to either the intervention or control group.The intervention group received health education based on the HBM,including lectures,brochures,videos,and counseling sessions,whereas the control group received routine care.Outcomes were measured at baseline,three months,and six months after the intervention and included blood pressure,medication adherence,self-efficacy,and perceived benefits,barriers,susceptibility,and severity.RESULTS The intervention group had significantly lower systolic blood pressure[mean difference(MD):-8.2 mmHg,P<0.001]and diastolic blood pressure(MD:-5.1 mmHg,P=0.002)compared to the control group at six months.The intervention group also had higher medication adherence(MD:1.8,P<0.001),self-efficacy(MD:12.4,P<0.001),perceived benefits(MD:3.2,P<0.001),lower perceived barriers(MD:-2.6,P=0.001),higher perceived susceptibility(MD:2.8,P=0.002),and higher perceived severity(MD:3.1,P<0.001)than the control group at six months.CONCLUSION Health education interventions based on the HBM effectively improve blood pressure control and health beliefs in patients with hypertension and should be implemented in clinical practice and community settings.

Assessment of public perspectives and barriers towards dengue preventive practices using the Health Belief Model in Puducherry,India:A cross-sectional study

Objective:To assess the perspectives and barriers towards dengue preventive practices among the residents of Puducherry,India.Methods:A cross-sectional survey was conducted in 300 households in Puducherry,using a population-proportionate(7:3)distribution from urban and rural areas by grid sampling.One adult interview per household was conducted and the participants were selected using a KISH grid.A semi-structured questionnaire based on the Health Belief Model(HBM)with additional questions on knowledge assessment was used.Knowledge was assessed based on the correctness of answers and the HBM scores were calculated on a 5-point Likert scale.Participants were categorized based on the median score under each domain.Logistic regression was used for adjusted analysis and models were built to predict the performances in each domain.Results:Four percent of the participants lacked basic knowledge regarding dengue transmission.While 208(69.3%)participants did not consider themselves at risk of contracting dengue within the next year,majority perceived dengue as a disease with low severity.Around 49.3%(148)were skeptical about the benefit of time and money spent on dengue prevention.Inadequate government efforts were stated as the major barrier(47.0%)and frequent reminders(142,47.3%)as the major cue to action.Age above 50 years(aOR 1.78,95%CI 1.04-3.06,P=0.037)and rural locality(aOR 2.68,95%CI 1.52-4.71,P=0.001)were found to be significantly associated with poor knowledge scores.Urban participants had a significantly higher chance to perceive low susceptibility as compared to the rural counterparts(aOR 1.74,95%CI 1.05-2.9,P=0.03).Participants with less than a high school education had low perceived benefits(aOR 2.46,95%CI 1.52-3.96,P<0.001)and low self-efficacy scores(aOR 2.66,95%CI 1.61-4.39,P<0.001).Conclusions:This study identifies key gaps in dengue prevention,including low perceived susceptibility,mild disease perception,limited knowledge of breeding sites,and overreliance on government efforts.Tailoring interventions to community needs,stratified to factors influencing the community perspectives can significantly improve dengue prevention efforts.

Integrating the health belief model into health education programs in a clinical setting

The article demonstrates that health belief model(HBM)-based health education in hypertensive patients effectively improves blood pressure control and medication adherence at 3 months and 6 months.The HBM addresses perceived barriers,benefits,susceptibility,severity,and self-efficacy,leading to better health behaviors.HBM-based education has been effective in various contexts,including managing chronic diseases,promoting cancer screenings,and preventing infectious diseases.However,the model has limitations,such as cultural applicability and addressing complex health behaviors influenced by environmental factors.Future research should integrate HBM with other theories and conduct longitudinal studies to assess long-term impacts.Despite these limitations,HBM-based education significantly improves patient outcomes,highlighting its potential in health education and promotion when appropriately adapted and implemented.This reinforces the model's value in designing effective health interventions and advancing public health.

Development and Evaluation of Innovative Recycling Intervention Program Using the Health Belief Model (HBM)

The purpose of this study was to assess the effectiveness of interventions based on health promotion theories in changing the recycling behavior of the targeted population. The study focused on the development and evaluation of innovative recycling education programs that address energy recovery, recycling, and waste management. The study applied Health Belief Model-(HBM) as an approach to motivate recycling behaviors and to evaluate the impact of the applied approaches on recycling set-out rates and participation. A total of 102 households from a Midwestern city participated in this study. The study was conducted over a period of six months. A Likert scale questionnaire was used to collect data on recycling and environmental knowledge, skills, behavior, and attitudes. The other set of data was the weight of recyclables that was obtained at each participant’s curb four times over the six months period of interventions. Results indicated a significant increase in average set out rates of recyclables among HBM participants (21.34 lbs. pre-test to 59.3 lbs. post-test). It was concluded that HBM educational approaches can be effective in motivating recycling. This study signifies the need for renewed effort in motivating individuals, households or businesses to recycle. Not every community or city significantly participates in recycling. Innovative strategies as well the application of approaches in the theories of behavioral change can positively influence recycling and overall waste reduction behaviors.

Osteoporosis knowledge, beliefs, and calcium intake of college students: Utilization of the health belief model

Objective: The purpose of this study was to examine the relationships between osteoporosis knowledge, beliefs and calcium intake among college students. This study also examined perceived susceptibility, severity, benefits, barriers and self-efficacy related to osteoporosis prevention. Participants: Seven hundred and ninety two (n = 792) men and women ages 17 - 31 of all ethnicities at a mid-western regional university in the US participated in the study. Methods: The Osteoporosis Knowledge Test, Osteoporosis Health Belief Scale, and Osteoporosis Preventing Behaviors Survey were utilized. Each of these tools were previously validated and found reliable. Correlation and multiple regression analyses were completed. Results: Participants did not perceive themselves as susceptible to osteoporosis and perceived minimal barriers to calcium intake. Their knowledge was minimal concerning alternate sources of calcium. Conclusions: Prevention programs should aim to increase osteoporosis knowledge of risk factors and osteoprotective behaviors and to decrease high-risk behaviors during college years when behavior changes can have the strongest impact on bone health.

Health beliefs toward lung cancer screening among Chinese American high-risk smokers:Interviews based on Health Belief Model

Objective This study aims to explore health beliefs toward lung cancer screening with low dose computed tomography among Chinese American high-risk smokers.Methods Guided by the Health Belief Model,semi-structured individual interviews were conducted with Chinese American high-risk smokers via phone.Additional questionnaires on demographic information,history of smoking and lung cancer screening were collected via email or phone before the interview,depending on participants’preference.Content analysis was used to extract meaningful and significant themes in the dataset.Constant comparison analysis and process coding were used to categorize and code data.Results Data saturation was reached after interviewing 12 participants.Chinese American high-risk smokers perceived a low susceptibility to lung cancer,since they believed various protective factors of lung cancer(e.g.,doing exercise,healthy diet,etc.)reduced their risk of getting lung cancer.All the participants perceived a high severity of lung cancer.They acknowledged lung cancer would have a huge impact on their life.Perceived benefits of lung cancer screening were accurate in most aspects although minor confusions were still noticed among this population.Perceived barriers varied on participants’,physicians’,and institutional levels.High-risk Chinese American smokers had little confidence to screening for lung cancer.Cues to action for them to screening for lung cancer included recommendations from health care providers,support from family members and friends,and information shared on Chinese-based social media.Conclusions Misconceptions and barriers to screening for lung cancer existed widely among Chinese American high-risk smokers.Intervention programs and targeted health education should be implemented to promote lung cancer screening among this population.

Development and evaluation of the health belief model scale for exercise

Objectives:This study was aimed to develop a health belief model scale for exercise among Chinese residents to describe the relationships between health beliefs and exercise for promoting residents to adopt or maintain exercise programs.Methods:Participants were from two projects,Project 1 with 3833 participants and Project 2 with 7319 participants.A pool of 21 items was developed based on a small-scale qualitative study about health beliefs of exercise and literature.Internal consistency and construct validity of the scale were evaluated with Cronbach'sαcoefficient,exploratory factor analysis(EFA),confirmatory factor analysis(CFA)and second-order confirmatory factor analysis.Results:A final version of 18 items loaded on six factors which could explain 60.30-%of variance was observed after EFA.The internal consistency of the final version with 18 items performed in Project 1 was acceptable(0.609).The reliability of the six subscales was good with Cronbach'sαcoefficient of 0.628,0.713,0.628,0.801,0.676 and 0.838 for perceived benefits,perceived objective barriers,perceived subjective barriers,self-efficacy,perceived severity and cues to action,respectively.CFA and second-order CFA indicated a good fit to data.Conclusions:The Health Belief Model Scale for Exercise(HBMS-E)is a valid and reliable instrument to assess health beliefs of exercise among residents in China.Understanding the health beliefs of exercise will help health professionals to develop effective interventions for health and evaluate the effectiveness.

The Effect of an Educational Program Based on the Health Belief Model on Self-Efficacy among Patients with Type 2 Diabetes Referred to the Iranian Diabetes Association in 2014

Background: Patient self-efficacy is one of the most important factors in treating and overcoming disease. Objective: The aim of this study was to evaluate the effect of an educational program based on the health belief model on self-efficacy among patients with type 2 diabetes referred to the Iranian Diabetes Association in 2014. Method: A randomized controlled clinical trial was conducted. Eighty patients with type 2 diabetes were selected randomly by the double block sample method. They were then divided into two groups of intervention and control (40 patients in each group) by random allocation. Data were collected by a questionnaire based on the Health Belief Model and self-efficacy. The data were gathered two months after the educational program was held. The educational program was designed on the basis of data collected in the pre-test phase. Then, the educational program was executed for the intervention group in 8 sessions (each 30 minutes) using lectures and an educational booklet. Data analysis was done with Chi-square Test, Pearson’s correlation, Independent samples T-test and paired T-test. The significance level was considered at 0.05. Results: Before intervention, no significant difference was detected between the two groups. However, after intervention all variables were significantly different except for perceived threat. Moreover, there were significant linear relationships between Self-efficacy and all Health Belief Model components after the educational intervention in both groups (p < 0.05). Conclusion: The educational program based on the health belief model increased self-efficacy in type 2 diabetes mellitus patients.

Factors associated with intention to undergo specific health guidance among Japanese workers using health belief model

Objectives: To examine the factors associated with the intention to undergo “specific health guidance”. Methods: Self-reported questionnaire data were collected from 4861 health insurance union members of a company in Japan from August to September 2010. The information gathered included the intention to undergo “specific health guidance,” the Health Belief Model (HBM) subcomponents (perceived severity, susceptibility, benefit, and barriers), other factors related to undergoing specific health guidance, sex, and age. Perceived threat and net benefit were the main HBM components. Bivariate and multivariate logistic regression analyses were used to assess the associations between intention and the main HBM components, i.e., perceived threat and net benefit. We used two models with intention as the dependent variable;Model 1 used four HBM subcomponents, and Model 2 used perceived threat and net benefit as independent variables. Results: A total of 3457 individuals answered all variables (response rate;71.1%). Perceived severity (OR: 1.83, 95%CI: 1.59 - 2.10), benefit (OR: 6.91, 95%CI: 5.94 - 8.04), barriers (OR: 0.11, 95%CI: 0.09 - 0.13), perceived threat (OR: 1.52, 95%CI: 1.31 - 1.76), and net benefit (OR: 11.28, 95%CI: 9.60 - 13.25) were related to intention (all p < 0.01). Multivariate analysis showed that net benefit (OR: 11.23, 95%CI: 9.55 - 13.20) had a stronger correlation with intention than did perceived benefit (OR: 4.67, 95%CI: 3.95 - 5.51) and barriers (OR: 0.15, 95%CI: 0.13 - 0.18) (all p < 0.01). Conclusions: The results suggested that the main HBM components may predict health behavior better than the subcomponents. These results may effectively promote the benefits of, and reduce barriers to, programs aiming to increase participation in specific health guidance.

Effective Factors in Urinary Tract Infection Prevention among Children: Application of Health Belief Model

Urinary Tract Infection (UTI) is one of the most common bacterial infections among children using preventive manipulations, especially among children less than 6 years old. This study aimed at exploring factors which could affect urinary tract infection prevention among children. A descriptive analytical study was conducted on 70 mothers who had children less than 6 years old in 2013. Multistage cluster sampling method was utilized in which each kindergarten was considered as a cluster and data were collected by a researcher-made questionnaire designed based on Health Belief Model (HBM). Validity and reliability of questionnaire were confirmed by a pilot study. ANOVA and Pearson Correlation Coefficient were conducted using SPSS, version 18. The mean and standard deviation of knowledge and practice were 6.96 ± 2.14 and 15.47 ± 1.54 respectively. Means and standard deviation of Health Belief Model constructs (perceived susceptibility, perceived severity, perceived benefits, perceived barriers and self-efficacy) were 17.64 ± 2.50, 22.02 ± 2.55, 20.90 ± 2.38, 27.56 ± 5.20 and 21.49 ± 3.18 respectively. More participants were in the moderate levels of knowledge (74.3%) and practice (45.7%). These findings revealed a significant relation between practice and perceived susceptibility (p = 0.02), perceived barriers (p = 0.001), self-efficacy (p = 0.014) and cues to action (p = 0.016). Based on the current study, the intervention based on Health Belief Model can be useful to improve preventive behaviors of Urinary Tract Infection.

Predictors of caring behaviors of mothers of premature infants based on the health belief model

Objective:To investigate predictors of caring behaviors of mothers of premature infants based on the health belief model.Methods:This cross-sectional study was conducted by using the structural equation modeling on 168 mothers of premature infants,who were selected by convenience sampling method from October 2017 to February 2018 in Iran.Data were collected by using a standard scale.Validity and reliability of all data collection tools were approved.Data were analyzed by using SPSS V.16 and Mplus6 software.Results:The structural equation modeling of the initial health belief model did not have a good fit,but the fitness of model 2 obtaining from the modified initial model was confirmed by changes in locations of constructs.None of constructs of model 2 had a significant positive association with the caring behavior of mothers of premature infants and only 2.8%of variance of caring behaviors in mothers could be predicted by the sum of variables of demographic characteristics and the modified health belief model constructs.Conclusions:Given that the findings do not approve the use of the health belief model in predicting determinants of caring behavior of mothers of premature infants,it is suggested to apply this model to investigate the effect of educational intervention based on the health belief model on the caring behavior of mothers.

Investigation on depression of medical students based on health belief model

Objective:Based on the health belief model,the depression status of medical students was analyzed in order to provide new ideas for the intervention of mental health problems of medical students.Methods:By using the method of stratified cluster sampling,1053 medical students in a medical college in Hainan province were investigated with self-designed general situation questionnaire,SCL-90,CSQ and emotional management health belief questionnaire.Results:The positive rate of depressive symptoms in medical students was 17.5%.Multivariate unconditional Logistic regression analysis showed that gender,coping style,"perceived obstacles","perceived severity","perceived susceptibility"and"self-efficacy"were related factors of depression in medical studengts.Conclusion:The related factors of depression in medical students include personal factors and the health belief factors such as"perceived obstacles","perceived severity","perceived susceptibility"and"self-efficacy".Psychological intervention based on Health belief model can be used for intervention of medical students.

基于HBM理念的程序化护理方案在甲状腺肿瘤患者微波消融围术期中的应用

目的探讨基于健康信念模式(HBM)理念的程序化护理在甲状腺肿瘤患者微波消融术中的应用效果。方法选择2021年4月—2022年3月医院甲状腺科提取甲状腺肿瘤患者106例为研究对象。所有患者经综合评估,采用微波消融术治疗。在组间主要基线资料均衡可比的原则上分为观察组和对照组,每组53例。对照组采取常规微波消融围术期的护理方案,观察组采取基于HBM理念的程序化护理方案,对比两组患者的术后恢复情况、疾病接受量表(AIS-CHI)评分、心理弹性量表(CD-RISC)评分、健康行为与并发症发生情况。结果实施基于HBM理念构建的程序化护理后,观察组患者的下床活动时间早于对照组,平均住院时间短于对照组,差异均有统计学意义(P<0.05);护理干预前,两组患者的AIS-CHI评分及CD-RISC评分比较,差异无统计学意义(P>0.05);护理干预后,观察组患者AIS-CHI评分及CD-RISC评分均优于对照组,观察组患者的健康行为优于对照组,组间差异均有统计学意义(P<0.05)。两组患者声音嘶哑、局部出血、切口疼痛、饮水呛咳、皮肤局部烫伤等并发症发生率比较,差异无统计学意义(P>0.05)。结论在甲状腺肿瘤患者微波消融围术期,开展基于HBM理念的程序化护理方案可促进患者的术后康复,改善患者的心理弹性及其对疾病的接受程度,促进患者形成健康行为习惯。

基于HBM多模式健康教育在髋关节置换术患者中的应用

目的:探讨基于健康信念模式(HBM)的多模式健康教育髋关节置换术患者下床活动时间、自护能力的影响。方法:选取2020年3月-2023年3月余干县人民医院收治的60例髋关节置换术患者为研究对象,按照护理方法的不同分为常规组与试验组。常规组(n=32)使用常规护理方法,试验组(n=28)在常规护理基础上使用基于HBM的多模式健康教育。在干预前后使用髋关节功能量表(HHS)、自我护理能力量表(ESCA)、一般自我效能感量表(GSES)评估2组患者干预前后的髋关节功能与自护能力。比较2组患者干预后的髋关节功能康复情况(首次下床活动时间、主动直腿抬高时间、主动屈膝达90°时间)以及并发症发生情况。结果:干预后,2组患者HHS、ESCA、GSES评分均高于干预前,且试验组高于常规组,差异有统计学意义(P<0.05);试验组患者首次术后下床活动时间、主动直腿抬高时间、主动屈膝达90°时间均短于常规组,组间差异有统计学意义(P<0.05);试验组并发症率7.14%低于常规组的28.12%,差异有统计学意义(P<0.05)。结论:基于HBM的多模式健康教育对髋关节置换术患者运用良好,可缩短患者下床活动时间,提升患者自护能力并降低并发症率。

基于HBM的干预策略应用于学龄期病毒性心肌炎患儿的效果研究

目的分析基于健康信念模式(HBM)的干预策略应用于学龄期病毒性心肌炎患儿的效果。方法选取郑州市第七人民医院2018年3月至2021年1月学龄期病毒性心肌炎患儿88例,以随机数字表法分为两组,各44例。对照组行常规护理,观察组在对照组基础上联合基于HBM的干预策略,比较两组遵医行为、干预前后家属疾病认知程度、患儿心理异常发生率、生存质量、家属护理工作满意度。结果观察组遵医行为高于对照组,差异有统计学意义(P<0.05);干预后两组家属疾病认知程度均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组患儿心理异常发生率4.55%(2/44)低于对照组25.00%(11/44),差异有统计学意义(P<0.05);干预后观察组角色功能、生理功能、社会功能、情感功能评分及PedsQL4.0总分高于对照组,差异有统计学意义(P<0.05);观察组家属护理工作满意度高于对照组,差异有统计学意义(P<0.05)。结论基于HBM理论的干预策略应用于学龄期病毒性心肌炎患儿,可改善遵医行为,调节心理状态,增强患儿家属健康知识掌握程度,提高患儿生存质量及护理工作满意度。

基于健康信念模型(HBM)的社区冠心病患者遵医行为影响因素的横断面研究

目的以健康信念模型(health belief model,HBM)为理论基础,探索影响冠心病患者遵医行为的影响因素。方法采用横断面调查研究,对上海市静安区189例社区冠心病患者进行问卷调查。调查内容包括人口社会学特征、冠心病患病情况、健康信念模型维度(疾病易感性、疾病严重性、行为益处、行为障碍和自我效能);通过Morisky量表评价服药依从性和健康促进生活方式量表Ⅱ(health promoting lifestyle profileⅡ,HPLP-Ⅱ)评价健康生活方式的依从性。采用t检验和F检验分析人口学特征对健康促进生活方式和遵医服药行为的影响。采用Pearson相关分析和多元线性回归分析健康信念模型各维度与健康促进生活方式和遵医服药行为之间的关系。结果189例患者中,男性占38.6%,女性占61.4%,137例大于60岁。健康信念模型各维度与健康促进生活方式各维度及遵医服药行为均成显著正相关,r值为0.173~0.734。多元线性回归分析结果显示:感知障碍(β=0.190,P=0.021)对健康责任的影响有统计学意义(R^2=0.073,P=0.016),感知易感性(β=0.134,P=0.008)对身体活动的影响有统计学意义(R^2=0.274,P<0.001),感知严重性(β=0.221,P=0.005)和感知益处(β=0.100,P=0.008)对精神成长的影响有统计学意义(R^2=0.423,P<0.001),感知益处(β=0.181,P=0.026)对压力管理的影响有统计学意义(R^2=0.302,P<0.001);感知易感性(β=0.689,P=0.027)、感知严重性(β=0.580,P=0.003)、感知障碍(β=0.689,P=0.002)和自我效能(β=0.417,P=0.023)对遵医服药行为的影响有统计学意义(R^2=0.645,P<0.001)。结论健康信念模型中各维度对冠心病患者的遵医服药行为和健康促进生活方式有影响,可以通过提升患者的健康信念,增强冠心病患者遵医服药行为和健康生活方式的依从性。

基于HBM及金的达标理论护理干预对产后压力性尿失禁患者症状及自我效能影响的研究

目的研究基于健康信念模式(HBM)及金的达标理论护理干预对产后压力性尿失禁患者症状及自我效能的影响。方法选取140例产后压力性尿失禁患者,采用随机数字表法将其分为观察组与对照组,每组70例。对照组采用常规盆底康复护理,观察组在对照组基础上增加基于HBM及金的达标理论的康复护理。比较两组护理干预有效性、生活质量、满意率及自我效能。结果干预8周后,观察组总有效率为92.86%,高于对照组的81.43%,差异有统计学意义(P<0.05)。干预前,两组尿失禁生活质量问卷(I-QOL)中的行为限制、社会障碍、心理影响评分及总分比较,差异均无统计学意义(P>0.05);干预4周、8周后,两组均较干预前明显提高,且观察组高于对照组,差异有统计学意义(P<0.05)。干预前,两组自我效能评分比较,差异无统计学意义(P>0.05);干预4周、8周后,观察组自我效能评分均高于对照组,差异有统计学意义(P<0.05)。观察组满意率高于对照组,差异有统计学意义(P<0.05)。干预前,两组自我效能评分比较,差异无统计学意义(P>0.05);干预4周、8周后,观察组自我效能评分均高于对照组,差异有统计学意义(P<0.05)。结论将基于HBM及金的达标理论的护理干预应用于产后压力性尿失禁患者护理中,可有效减轻患者症状,提高患者生活质量及满意率,增强其自我效能,可在临床上借鉴应用。

基于HBM理论的慢性肾脏病3~5期病人个体化饮食管理方案的构建

目的:构建慢性肾脏病(CKD)3~5期病人个体化饮食管理方案,以期为临床人员开展科学、规范化饮食管理提供理论依据。方法:以健康信念模式为理论框架,通过文献调研、半结构化访谈及德尔菲法确定CKD 3~5期病人个性化饮食管理方案。结果:2轮专家函询问卷的回收率分别为96.0%和100.0%,专家权威系数均>0.8,第1轮各级指标变异系数为0.00~0.23,肯德尔系数为0.338(P<0.05);第2轮各级指标变异系数为0.00~0.22,肯德尔系数为0.401(P<0.05)。最终形成了由4个一级指标、13个二级指标、55个三级指标组成的基于HBM理论的CKD 3~5期病人个体化饮食管理方案。结论:构建的基于HBM理论的CKD 3~5期病人个体化饮食管理方案具有一定的科学性和可靠性,对CKD病人开展规范、系统的饮食培训有一定的借鉴意义与实践价值。

HBM教育对PCI术病人疾病不确定感及负性情绪的影响研究

[目的]探讨健康信念模式(health belief model,HBM)教育对行经皮冠状动脉介入术(PCI)病人疾病不确定感及负性情绪的影响。[方法]选取潍坊医学院附属医院2019年6月—2019年9月心内科106例行PCI术治疗的病人作为研究对象,随机分为对照组和观察组,其中对照组52例,观察组54例,两组病人均接受常规治疗和护理,观察组在对照组的基础上实施HBM教育,比较两组病人干预前后疾病不确定感、焦虑自评量表以及抑郁自评量表的得分情况。[结果]干预3个月后,观察组疾病不确定感、焦虑、抑郁得分均低于对照组,差异有统计学意义(P<0.05)。[结论]HBM教育能够提高病人对疾病相关知识的认知程度,降低病人的疾病不确定感和负性情绪。

基于HBM的跟踪护理联合健康宣教对急性Stanford A型主动脉夹层术后患者依从性及生活质量的影响

目的 分析基于健康信念模式(HBM)的跟踪护理联合健康宣教应用于急性Stanford A型主动脉夹层(ATAAD)术后患者的效果,以期为临床护理方案的制定提供参考。方法 选取2018年3月—2020年3月于我院行动脉腔内隔绝术的ATAAD患者84例作为研究对象,按照护理方案分为常规组(n=40)和干预组(n=44)。常规组患者接受常规健康宣教,干预组患者在常规组基础上接受基于HBM的跟踪护理。比较2组患者干预6个月后的治疗依从性,干预前、干预6个月后自我护理能力测定表(ESCA)得分,干预前、干预3个月后、干预6个月后生活质量综合评定问卷-74(GQOLI-74)得分以及干预6个月后的护理服务满意度。结果 干预6个月后,干预组患者在服药、饮食、血压监测、运动、复诊等维度上的依从率均高于常规组(P<0.05)。干预前,2组患者ESCA各维度得分比较,差异均无统计学意义(P>0.05);干预6个月后,2组患者ESCA各维度得分均高于干预前,且干预组高于常规组,差异均有统计学意义(P<0.05)。干预前,2组患者的GQOLI-74得分比较,差异无统计学意义(P>0.05);干预3个月、6个月后,2组患者的GQOLI-74得分均高于干预前,且干预组高于常规组,差异均有统计学意义(P<0.05)。干预6个月后,干预组患者的护理服务满意度为93.18%,高于常规组的75.00%(P<0.05)。结论 基于HBM的跟踪护理联合健康宣教能改善ATAAD术后患者自护能力、治疗依从性、生活质量,提高护理服务满意度,值得临床推广。