摘要
该研究选取16组具有不同人口学特征的社区高血压患者及其照护者/同居者开展半结构式深度访谈,明确社区高血压患者在膳食选择行为中的影响因素,深入解析其决策过程,从而为指导其改善膳食行为提供依据。研究遵循解释现象学分析的基本原则与步骤,归纳出自我效能、家庭动力、社会支持及社会文化经济四个核心范畴。结果表明,在健康素养、身心状态等多重因素的综合影响下,患者对食物性质的偏好是其膳食选择过程中最直接的关键因素;而专业指导与代际支持则分别从社区层面与家庭层面,对患者的膳食选择行为施加外部干预作用。研究结合膳食选择影响机制,提出了高效的膳食干预建议,以期为社区慢病管理提供参考。
This study conducted in-depth semi-structured interviews with 16 groups of community-dwelling hypertensive patients with different demographic characteristics and their caregivers or cohabitants.This study aimed to identify the influencing factors of dietary choices among community-dwelling hypertensive patients,and to provide an in-depth analysis of the decision-making process of their dietary selection,thereby providing a basis for guiding and improving their dietary behaviors.Following the interpretative phenomenological analysis principles,this study identified four core categories:self-efficacy,family dynamics,social support,and sociocultural-economic factors.The results indicated that under the combined influence of multiple factors,such as health literacy and physical and mental status,patients’preference for food attributes was the most direct and critical influencing factor in their dietary selection process.In contrast,professional guidance and inter-generational support provided external intervention on patients’dietary choices at the community and family levels,respectively.Based on the influencing mechanisms,this study identified effective dietary intervention strategies for dietary choices,offering a reference for chronic disease management in community settings.
作者
沈珂
何源
SHEN Ke;HE Yuan(School of Health Policy&Management,Nanjing Medical University,Nanjing 211166,China;School of Marxism,Nanjing Medical University,Nanjing 211166,China)
出处
《南京医科大学学报(社会科学版)》
2026年第1期92-98,共7页
Journal of Nanjing Medical University(Social Sciences)
基金
国家自然科学基金“跨期决策偏好对社区高血压患者健康行为的影响机制及干预策略研究:基于PRECEDEPROCEED模型”(72174092)
江苏省研究生实践创新计划项目“基于离散选择实验的社区高血压患者膳食选择偏好研究”(SJCX24_0813)。
关键词
膳食选择
影响因素
社区
高血压
解释现象学
dietary choices
influencing factors
community
hypertension
interpretive phenomenology
