行为转变干预模式在肺结核患者自我管理中的应用.pdfVIP

实践探索 Practice and Exploration 行为转变干预模式在肺结核患者自我管理 中的应用 邹喜荣 尹凤鸣 [ 摘 要 ] 目的：评价行为转变干预模式对肺结核患者自我管理的影响。方法：按照自我管理行为阶段的划分对 62 例肺结 核患者给予有针对性的护理干预措施，并对干预后效果进行评价。结果：干预后患者自我管理行为向行动期和维持期转变，患 者自我护理能力及自我效能评分均较干预前提高（P0.001）。结论：行为转变干预模式有利于患者从低级行为阶段向高级行为 阶段迈进，提高了肺结核患者的自我护理能力以及应对生活方式改变的自我效能，对规范并强化自我管理行为产生了积极的影响。 [ 关键词 ] 行为转变模式；护理干预； 肺结核；自我管理 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2015.06.032 The application of the intervention model of behavior change on self-management in patients with pulmonary tuberculosis / ZOU Xirong, YIN Fengming // Department of Infectious Disease, Hengyang Peoples Liberation Army 169 Center Hospital, Hunan province, 421002 China /// Chinese Nursing Management-2015,15(6): 744-747 [ ] Abstract Objective: To explore influence of the intervention model of behavior change on self-management in patients with pulmonary tuberculosis. Methods: Totally 62 patients with pulmonary tuberculosis were offered with specific nursing interventions according to self-management behavior phase. And the intervention effects were assessed. Results: After intervention, patients self-management behavior shifted to the action phase and maintenance phase. And the scores of self-care ability and self-efficacy were improved compared with before, the differences were statistically significant (P0.001). Conclusion: The intervention model of behavior change can help patients change from low level behavior phase to senior behavior phase, and improve patients self-care ability and self-efficacy of coping with the lifestyle changes, which do a positive effect on standardization and improvement of self- management behavior. [ ] Keywords model of behavior change; nursing intervention; pulmonary tuberculosis; self-management 结核病是严重威胁人类健康的慢