CAJ | 학술논문

目的：探讨阶段性改变模式在冠心病患者行为改变中的应用效果。方法107例冠心病患者随机分为两组：对照组53例，接受常规健康教育；观察组54例，以阶段性改变模式理论为指导进行健康教育。比较两组患者的生活方式改变情况和临床指标。结果6个月后，干预组患者低脂饮食、戒烟限烟、规律运动、生活规律和情绪稳定等健康行为明显好于对照组（P ＜0．01或 P ＜0．05），血脂、血糖和血压达标率提高（ P ＜0．05），再住院率下降（ P ＜0．05）。结论阶段性改变模式可有效帮助冠心病患者改变不良生活方式，并改善患者病情。
목적：탐토계단성개변모식재관심병환자행위개변중적응용효과。방법107례관심병환자수궤분위량조：대조조53례，접수상규건강교육；관찰조54례，이계단성개변모식이론위지도진행건강교육。비교량조환자적생활방식개변정황화림상지표。결과6개월후，간예조환자저지음식、계연한연、규률운동、생활규률화정서은정등건강행위명현호우대조조（P ＜0．01혹 P ＜0．05），혈지、혈당화혈압체표솔제고（ P ＜0．05），재주원솔하강（ P ＜0．05）。결론계단성개변모식가유효방조관심병환자개변불량생활방식，병개선환자병정。
Objective To evaluate the effect of stage‐based intervention on patients with coronary heart disease .Methods 107 patients with coronary heart disease were divided into 2 groups randomly ,The test group(n=54) received the stage‐based intervention w hile the control group(n=53) received routine educa‐tion .Results After six months ,comparing to the control group ,The patients’ health behavior increased af‐ter the behavioral interventions in the test group ,including low fat and cholesterol diet ,cigarette quitting , regular life schedule ,physical activity and emotional control( P <0 .01 or P <0 .05) ,the control rate of blood cholesterol ,blood glucose and blood pressure increased ,the rehospitalized rate decreased in the test group( P <0 .01 or P <0 .05) .Conclusion The stage‐based intervention can promote the establishment of a healthy behavior and improve the patients’ clinical condition .