齐鲁护理杂志
齊魯護理雜誌
제로호리잡지
Journal of Qilu Nursing
2015年
17期
29-31
,共3页
行为转变理论%冠心病%行为改变%糖脂代谢
行為轉變理論%冠心病%行為改變%糖脂代謝
행위전변이론%관심병%행위개변%당지대사
Coronary heart theory%CHD%Behavior change%Glucolipid metabolism
目的:探讨行为转变理论对老年冠心病( CHD )患者行为转变、血糖及血脂水平的影响. 方法:将128 例老年冠心病( CHD)患者按随机数字表分为观察组和对照组各64例,对照组接受常规健康教育,观察组根据行为转变理论制定护理干预,干预时间为6个月;观察两组二级预防行为、疾病康复知识及血糖血脂水平变化. 结果:经干预后观察组二级预防行为、健康知识评分显著高于对照组(P<0. 05);观察组空腹血糖(FPG)、餐后2 h血糖(2 hFPG)、糖化血糖蛋白(HbAlc)、总胆固醇(TC)、甘油三酯(TG)、低密度蛋白(HDL-C)低于对照组(P<0. 05),高密度蛋白(LDL-C)水平高于对照组(P<0. 05). 结论:行为转变理论能有效改变CHD患者行为,提高患者疾病知识水平,改善患者血糖血脂水平,有利于患者康复.
目的:探討行為轉變理論對老年冠心病( CHD )患者行為轉變、血糖及血脂水平的影響. 方法:將128 例老年冠心病( CHD)患者按隨機數字錶分為觀察組和對照組各64例,對照組接受常規健康教育,觀察組根據行為轉變理論製定護理榦預,榦預時間為6箇月;觀察兩組二級預防行為、疾病康複知識及血糖血脂水平變化. 結果:經榦預後觀察組二級預防行為、健康知識評分顯著高于對照組(P<0. 05);觀察組空腹血糖(FPG)、餐後2 h血糖(2 hFPG)、糖化血糖蛋白(HbAlc)、總膽固醇(TC)、甘油三酯(TG)、低密度蛋白(HDL-C)低于對照組(P<0. 05),高密度蛋白(LDL-C)水平高于對照組(P<0. 05). 結論:行為轉變理論能有效改變CHD患者行為,提高患者疾病知識水平,改善患者血糖血脂水平,有利于患者康複.
목적:탐토행위전변이론대노년관심병( CHD )환자행위전변、혈당급혈지수평적영향. 방법:장128 례노년관심병( CHD)환자안수궤수자표분위관찰조화대조조각64례,대조조접수상규건강교육,관찰조근거행위전변이론제정호리간예,간예시간위6개월;관찰량조이급예방행위、질병강복지식급혈당혈지수평변화. 결과:경간예후관찰조이급예방행위、건강지식평분현저고우대조조(P<0. 05);관찰조공복혈당(FPG)、찬후2 h혈당(2 hFPG)、당화혈당단백(HbAlc)、총담고순(TC)、감유삼지(TG)、저밀도단백(HDL-C)저우대조조(P<0. 05),고밀도단백(LDL-C)수평고우대조조(P<0. 05). 결론:행위전변이론능유효개변CHD환자행위,제고환자질병지식수평,개선환자혈당혈지수평,유리우환자강복.
Objective:To investigate the effect of behavior change theory on behavior changes and glucolipid metabolism in elderly pa-tients with coronary heart disease ( CHD) . Methods:128 patients with CHD were randomly divided into the observation group and the con-trol group (64 cases in each group). The patients in the control group received conventional health education and the patients in the observa-tion group were provided nursing intervention developed according to the behavior change theory,the intervention lasted 6 months. The sec-ondary prevention behavior,awareness of rehabilitation knowledge and the change of blood glucose and lipids levels of the patients were ob-served in the two groups. Results:The scores of the secondary prevention behavior and awareness of rehabilitation knowledge of the patients were significantly higher in the observation group than those in the control group (P<0. 05);the levels of fasting blood glucose (FPG),2 h postprandial glucose (2 hPG),total cholesterol (HbAlc),triglyceride (TG) and low density protein (LDL-C) were significantly lower in the observation group than those in control group (P<0. 05);the level of high density protein (HDL-C) was higher in the observation group than that in control group (P<0. 05). Conclusion:The behavior change theory can effectively change the behaviors of patients with CHD and improve the level of awareness of rehabilitation knowledge and the levels of blood glucose and blood lipids of the patients.