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.

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.

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。

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与运动干预共同改善非酒精性脂肪肝的效果研究

目的:探讨对非酒精性脂肪肝(NAFLD)患者实施健康信念模式(HBM)联合运动干预的效果。方法:按照不同护理方案将厦门大学附属第一医院2021年10月—2022年10月160例NAFLD患者进行分组,分为对照组、观察组,每组80例。在同样的运动干预方法基础上,对照组采取常规护理,观察组采取HBM干预。比较两组干预前后的脂肪肝严重程度、形态机能指标、自我效能感。结果:干预后观察组脂肪肝严重程度轻于对照组(P<0.05);干预后观察组体脂率、体重指数(BMI)、腹部脂肪均低于对照组(P<0.05);干预后观察组慢性病自我效能感量表(CDSES)评分高于对照组(P<0.05)。结论:HBM和运动干预应用于NAFLD患者后,能改善患者的体重、体脂水平,减轻其脂肪肝严重程度,同时能增强患者的自我效能感。

健康信念模式信息传播联合运动干预在血液透析伴衰弱患者康复中的应用效果评价

目的评价健康信念模式信息传播联合运动干预在血液透析伴衰弱患者康复中的应用效果。方法采用方便抽样法,选取2022年1—12月合肥市第二人民医院收治的100例血液透析伴衰弱患者为研究对象,按照掷硬币法将其分为对照组和观察组,每组50例。对照组应用常规护理,观察组在对照组基础上应用健康信念模式信息传播联合运动干预。对比2组患者干预前后衰弱状况、躯体功能、骨骼肌质量及体质量指数,采用χ2检验和t检验进行统计分析。结果干预3个月后,观察组中文版蒂尔堡衰弱指标量表得分为(4.51±1.15)分,低于对照组的(5.21±1.24)分(P<0.05);观察组简易机体功能评估得分、握力及步速分别为(9.78±0.86)分、(20.22±1.61)kg和(4.81±1.02)s/4 m,均优于对照组的(8.61±1.13)分、(19.23±2.80)kg、(5.55±1.33)s/4 m(P均<0.05);观察组骨骼肌质量指数、上臂肌围、小腿围和体质量指数分别为(8.01±1.22)kg/m^(2)、(25.86±1.77)cm、(33.61±1.61)cm和(23.84±2.17)kg/m^(2)均高于对照组的(7.35±1.13)kg/m^(2)、(25.01±2.00)cm、(32.74±1.83)cm和(22.66±2.66)kg/m^(2)(P均<0.05)。结论健康信念模式信息传播联合运动干预对衰弱血透患者进行体育锻炼等干预,可显著提高衰弱状态,提高患者躯体功能及肌力情况。

基于健康信念模式的健康教育在消化道早癌筛查中的应用效果

目的探讨基于健康信念模式的健康教育在消化道早癌筛查中的应用效果。方法选取87例消化道早癌高危筛查患者,随机分为观察组(n=43)和对照组(n=44)。对照组接受常规的健康教育,观察组应用基于健康信念模式的健康教育,比较2组患者的筛查依从性,干预前后疾病知识掌握情况(包括消化道早癌相关知识、健康行为、筛查相关知识及心理疏导评分)、自我管理能力[自我管理能力测评量表(AHSMSRS)评分]、自护能力[自我护理能力量表(ESCA)评分]、健康行为[健康促进生活方式量表(HPLP-Ⅱ)评分]、负性情绪状况[焦虑自评量表(SAS)和抑郁自评量表(SDS)评分],护理满意度[纽卡斯尔护理服务满意度量表(NSNS)评分]。结果干预后,观察组疾病知识掌握情况各项评分、HPLP-Ⅱ、AHSMSRS和ESCA评分均高于对照组,SAS和SDS评分均低于对照组(P<0.05或P<0.001)。观察组总筛查依从率和总护理满意率均高于对照组(97.67%比81.82%,P<0.05;97.67%比79.55%,P<0.001)。结论将基于健康信念模式的健康教育应用于消化道早癌筛查患者中,能促进患者健康行为的养成,提高患者自护能力、筛查依从性,改善患者负性情绪状况。

某医学院校女大学生乙肝和HPV疫苗接种行为比较及影响因素分析

目的:比较某医学院校女大学生乙型肝炎(乙肝)和人乳头状瘤病毒(HPV)疫苗接种行为差异并分析其影响因素,为更好地实施疫苗接种策略和防治相关疾病提供科学依据。方法:采用普查的方法对2022年6~12月就诊于某高校社区卫生服务中心接种门诊的女医学生疫苗接种行为及相关信息进行调查,基于健康信念模式采用多因素Logistic回归模型分析接种行为的影响因素。结果:共334人参加本调查,有效问卷308份,有效率92.2%。85.06%女医学生优先选择接种HPV疫苗,仅有14.94%女医学生优先选择接种乙肝疫苗。Logistic回归分析显示,父亲文化程度、乙肝的自我效能和提示因素对乙肝接种行为有影响,父亲文化程度和HPV自我效能对HPV接种行为有影响。结论:女医学生接种HPV疫苗的积极性高于接种乙肝疫苗,建议通过加强以新媒介为渠道的乙肝知识宣传力度、制定针对医学生的乙肝疫苗接种策略,提高医学生乙肝疫苗接种率,为保护重点人群、预防职业暴露引发的不良结局奠定基础。

考虑健康信念的游客分时预约行为分析

为探索新冠肺炎疫情背景下景区分时预约策略、游客健康信念和风险预防行为之间的关系,需考虑健康信念,分析疫情防控期间游客分时预约行为机理。采用意愿调查法获取旅游信息、健康信念、分时预约行为意向数据,分析各预约时段余票比例和门票预售期等信息对游客分时预约行为的影响。基于Nested Logit(NL)模型,建立考虑健康信念的游客游玩日期-时段预约选择联合模型,并进行敏感性分析。结果表明:预约信息、健康信念对游客预约节假日或非节假日游玩有显著影响;票价、各预约时段余票比例和健康信念对游客游玩时段预约选择行为有显著影响。游客感知新冠的严重性由1上升至5时,选择节假日出行的概率由30.46%下降至12.28%。研究可为景区分时预约策略的制定提供参考依据。

健康信念模式下孕产妇对新生儿先天性眼病筛查认知度及相关因素分析

目的:探索健康信念模式下,孕产妇对新生儿眼底筛查行为的影响因素,为优化新生儿眼底筛查工作提供参考。方法:利用随机抽样法,对石家庄市县级、市级、省级医院产科门诊产检及分娩的女性337例进行问卷调查。应用χ^(2)检验与t检验对影响筛查行为的因素进行比较,采用logistic回归方程分析其影响因素。结果:不同就诊医院(χ^(2)=7.853,P=0.049)、职业状态(χ^(2)=6.802,P=0.009)、居住状况(χ^(2)=11.639,P=0.003)、文化程度(χ^(2)=17.850,P=0.001)的母亲筛查行为有差异。计划筛查或已筛查的母亲对眼底筛查的严重性认知得分高于未计划或未筛查者(t=-7.84,P<0.001)计划筛查或已筛查的母亲对眼底筛查的益处认知得分高于未计划或未筛查者(t=-5.18,P<0.001),障碍认知(反向计分)得分高于未计划或未筛查者(t=-11.13,P<0.001),有行为意愿及线索的得分高于未计划或未筛查者(t=-9.38,P<0.001),计划筛查及已筛查的母亲家庭支持得分高于未计划或未筛查者(t=-3.14,P=0.002)、就诊医院(OR=2.611,95%CI:1.1049~6.496)严重性认知(OR=2.236,95%CI:1.237~4.044)、障碍认知(OR=3.668,95%CI:2.309~5.828)与行为意愿(OR=2.354,95%CI:1.383~4.007)是新生儿眼底筛查行为的影响因素。结论:严重性认知、障碍认知与行为意愿对新生儿眼底筛查行为有影响,帮助提升严重性认知、改善障碍认知及增强行为意愿是促进个体参与筛查的有效措施,需对不同就诊医院人群开展针对性的宣教。

中医特色护理联合健康信念模式在老年骨质疏松患者中的应用效果分析

目的:探讨中医特色护理联合健康信念模式在老年骨质疏松患者中的应用效果。方法:选取2022年2月—2023年7月无锡市中医医院收治的80例老年骨质疏松患者作为研究对象,按照随机数字表法分成观察组、对照组,各40例。对照组实施常规护理,观察组在对照组基础上实施中医特色护理联合健康信念模式。结果:护理3个月后,两组骨保护素水平高于护理前,且观察组高于对照组,两组骨碱性磷酸酶、Ⅰ型胶原C端肽水平低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组骨折发生率低于对照组,差异有统计学意义(P=0.023)。护理3个月后,两组生理功能、心理功能、精神健康、社会功能评分高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:中医特色护理联合健康信念模式在老年骨质疏松患者中的应用效果显著,可改善患者骨代谢相关指标,降低骨折发生率,提高生活质量。