ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-06-031 康复与疾病管理 2025, (06)

基于健康信念模型与计划行为整合理论的健康教育策略在老年冠心病中的应用

泰山护理职业学院

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摘要

摘要:目的 探讨基于健康信念模型(HBM)与计划行为理论(TPB)整合理论(HBM-TPB)的健康教育策略对老年冠心病(CHD)患者的影响。方法 选取 2024 年 7 月至 2025 年 6 月在本院就诊的 172 例老年 CHD患者,以随机数表法分为两组,每组 86 例。对照组接受常规管理模式,观察组则接受基于 HBM-TPB 整合理论的健康教育策略,对比两组管理效果。结果 管理后,观察组生活质量高于对照组(P<0.05);自我效能高于对照组(P<0.05);血脂水平优于对照组(P<0.05);管理满意度高于对照组(P<0.05)。结论 基于 HBM TPB 整合理论的健康教育策略可有效改善老年 CHD 患者的生活质量、自我效能及血脂代谢,提升管理依从性与满意度,为 CHD 二级预防提供了理论支持与实践参考。

Abstract

Abstract: Objective To investigate the effects of a health education strategy based on the health belief model (HBM) and theory of planned behavior (TPB) integration (HBM-TPB) on elderly patients with coronary heart disease (CHD). Methods A total of 172 elderly CHD patients treated in our hospital from July 2024 to June 2025 were randomly divided into two groups using a random number table, with 86 patients in each group. The control group received routine management, while the observation group received health education strategies based on the HBM-TPB integrated theory. Management outcomes were compared between groups. Results After management, the quality of life in the observation group was higher than that in the control group (P<0.05). Self-efficacy was higher than that of the control group (P<0.05). The blood lipid level was better than that of the control group (P<0.05). The management satisfaction was higher than that of the control group (P<0.05). Conclusion The health education strategy based on the integrated HBM-TPB theory effectively improves quality of life, self-efficacy, and lipid metabolism in elderly CHD patients, enhances management compliance and satisfaction, and provides theoretical support and practical reference for secondary prevention of CHD.

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[1]王艳丽,党帅,亓红伟,等.基于健康信念模型与计划行为整合理论的健康教育策略在老年冠心病中的应用[J],2025,01(06):.