中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
15期
1772-1775,1776
,共5页
高尿酸血症%社区护理%健康信念%健康行为%以家庭为单位的健康管理模式
高尿痠血癥%社區護理%健康信唸%健康行為%以傢庭為單位的健康管理模式
고뇨산혈증%사구호리%건강신념%건강행위%이가정위단위적건강관리모식
Hyperuricemia%Community nursing%Health belief%Health behavior%Family-based health management model
目的：探讨以家庭为单位的健康管理模式对社区高尿酸血症患者的健康信念、健康行为和家庭功能的影响。方法2011年4月—2012年3月将281例社区高尿酸血症患者随机分为观察组和对照组。对照组139例患者给予常规健康管理,观察组142例患者在常规管理的基础上实施以家庭为单位的健康管理模式。于12个月后以健康信念模型量表( CHBMS)、健康促进生活方式量表Ⅱ( HPLPⅡ)、家庭功能评定量表( FAD)评价两组患者健康信念和行为以及家庭功能变化。结果干预前,两组患者的健康信念、行为及家庭功能差异均无统计学意义(P>0.05)。在干预12个月后,观察组患者的健康信念和行为总分分别为(23.07±5.87),(123.49±9.22)分,均高于对照组,家庭功能总分为(14.12±3．21)分,低于对照组,差异均有统计学意义(t值分别为5.46,5.31,8.21；P<0.05)。观察组患者干预前后的健康信念和行为、家庭功能差异均有统计学意义(P<0.05),而对照组干预前后比较差异无统计学意义(P>0.05)。结论应用以家庭为单位的健康管理服务模式既可提高社区高尿酸血症患者健康信念水平和健康行为的依从度,又可优化患者的家庭功能。
目的：探討以傢庭為單位的健康管理模式對社區高尿痠血癥患者的健康信唸、健康行為和傢庭功能的影響。方法2011年4月—2012年3月將281例社區高尿痠血癥患者隨機分為觀察組和對照組。對照組139例患者給予常規健康管理,觀察組142例患者在常規管理的基礎上實施以傢庭為單位的健康管理模式。于12箇月後以健康信唸模型量錶( CHBMS)、健康促進生活方式量錶Ⅱ( HPLPⅡ)、傢庭功能評定量錶( FAD)評價兩組患者健康信唸和行為以及傢庭功能變化。結果榦預前,兩組患者的健康信唸、行為及傢庭功能差異均無統計學意義(P>0.05)。在榦預12箇月後,觀察組患者的健康信唸和行為總分分彆為(23.07±5.87),(123.49±9.22)分,均高于對照組,傢庭功能總分為(14.12±3．21)分,低于對照組,差異均有統計學意義(t值分彆為5.46,5.31,8.21；P<0.05)。觀察組患者榦預前後的健康信唸和行為、傢庭功能差異均有統計學意義(P<0.05),而對照組榦預前後比較差異無統計學意義(P>0.05)。結論應用以傢庭為單位的健康管理服務模式既可提高社區高尿痠血癥患者健康信唸水平和健康行為的依從度,又可優化患者的傢庭功能。
목적：탐토이가정위단위적건강관리모식대사구고뇨산혈증환자적건강신념、건강행위화가정공능적영향。방법2011년4월—2012년3월장281례사구고뇨산혈증환자수궤분위관찰조화대조조。대조조139례환자급여상규건강관리,관찰조142례환자재상규관리적기출상실시이가정위단위적건강관리모식。우12개월후이건강신념모형량표( CHBMS)、건강촉진생활방식량표Ⅱ( HPLPⅡ)、가정공능평정량표( FAD)평개량조환자건강신념화행위이급가정공능변화。결과간예전,량조환자적건강신념、행위급가정공능차이균무통계학의의(P>0.05)。재간예12개월후,관찰조환자적건강신념화행위총분분별위(23.07±5.87),(123.49±9.22)분,균고우대조조,가정공능총분위(14.12±3．21)분,저우대조조,차이균유통계학의의(t치분별위5.46,5.31,8.21；P<0.05)。관찰조환자간예전후적건강신념화행위、가정공능차이균유통계학의의(P<0.05),이대조조간예전후비교차이무통계학의의(P>0.05)。결론응용이가정위단위적건강관리복무모식기가제고사구고뇨산혈증환자건강신념수평화건강행위적의종도,우가우화환자적가정공능。
Objective To discuss the effect of family-based health management model on health beliefs and behavior among the community patients with hyperuricemia. Methods We randomly split 281 community patients with hyperuricemia into research group and control group from April 2011 to March 2012, while the 139 patients in the control group received regular health management, and 142 patients in the research group adopted the family-based health management based on the regular method. After 12 months, we evaluated the changes between two groups in respect of their beliefs and behavior of health care and family functions by using champion health belief model scale (CHBMS), health promoting lifestyle profile II (HPLP II), and family assessment device ( FAD) . Results Before intervention, no obvious difference was found between the two groups in terms of the patients′health beliefs and behavior as well as their family functions (P >0. 05). After 12 months′intervention, the total score of patients′health beliefs and behavior in the research group were (23. 07 ± 5. 87), (123. 49 ± 9. 22), statistically significant higher than that in the control group (t=5. 46,5. 31;P<0. 05), and the score of family functions decreased to (14. 12 ± 3. 21), lower than the control group (t=8. 21,P<0. 05). Significant differences occurred to the research group on the health beliefs, behavior and family function of the patients after intervention (P < 0. 05), whereas the data of control group was with no evident difference compared before and after intervention (P >0. 05). Conclusions The application of family-based health management model not only promotes the health beliefs and behavior of the patients with hyperuricemia, but also optimizes their family function.
