Objective: To explore the effect of Health Action Process Approach (HAPA) theory in patients with type D personality psoriasis. Methods: A total of 66 patients with type D personality psoriasis admitted to the dermato...Objective: To explore the effect of Health Action Process Approach (HAPA) theory in patients with type D personality psoriasis. Methods: A total of 66 patients with type D personality psoriasis admitted to the dermatology department of a top-three hospital in Jingzhou City from November 2022 to July 2023 were selected and divided into control group and test group with 33 cases in each group by random number table method. The control group received routine health education, and the experimental group received health education based on the HAPA theory. Chronic disease self-efficacy scale, hospital anxiety and depression scale and skin disease quality of life scale were used to evaluate the effect of intervention. Results: After 3 months of intervention, the scores of self-efficacy in experimental group were higher than those in control group (P P Conclusion: Health education based on the theory of HAPA can enhance the self-efficacy of patients with type D personality psoriasis, relieve negative emotions and improve their quality of life.展开更多
The Health Action Process Approach(HAPA),developed by German psychologist Schwarzer in the 1980s,provides a comprehensive framework for understanding and influencing health behavior change.By dividing behavior change ...The Health Action Process Approach(HAPA),developed by German psychologist Schwarzer in the 1980s,provides a comprehensive framework for understanding and influencing health behavior change.By dividing behavior change into three dynamic stages-pre-intention,intention,and action-HAPA highlights the critical role of self-efficacy as a driving force in adopting healthier behaviors.This stage-based approach addresses the limitations of continuous health behavior models by emphasizing individual differentiation and recognizing that behavior change is not linear but progresses through distinct phases.HAPA theory has demonstrated significant potential in clinical applications,particularly in orthopedic postoperative patients.Its implementation facilitates the development of positive behavioral intentions,enhances self-efficacy,and supports sustained health action,ultimately improving patients’health outcomes and quality of life.Tailored interventions based on HAPA stages ensure that patients receive appropriate guidance and support throughout their recovery journey.Despite its successes,limitations remain.Future research should focus on expanding the application of HAPA to various orthopedic conditions and developing more targeted behavioral plans and health education programs to optimize patient rehabilitation.Additionally,further exploration is needed to sustain HAPA’s effectiveness during long-term recovery.Strengthening interdisciplinary collaboration and integrating HAPA with other theoretical models could create a more comprehensive health behavior education system,providing robust support for orthopedic patients and advancing their overall recovery and well-being.展开更多
目的:基于健康行动过程取向(health action process approach,HAPA)模型探究2型糖尿病患者膳食模式和血糖控制的影响因素。方法:选取山东省东营市东城医院下属的11个社区卫生中心内的2型糖尿病患者作为研究对象,通过静脉抽血检测患者的...目的:基于健康行动过程取向(health action process approach,HAPA)模型探究2型糖尿病患者膳食模式和血糖控制的影响因素。方法:选取山东省东营市东城医院下属的11个社区卫生中心内的2型糖尿病患者作为研究对象,通过静脉抽血检测患者的糖化血红蛋白(glycosylated hemoglobin,HbA1c)水平,采用一般资料调查表、膳食频率调查问卷、2型糖尿病自我管理量表、HAPA量表收集信息。通过因子分析将患者的膳食模式划分为不同类型,通过结构方程模型分析HAPA模型各维度对于患者膳食模式和血糖控制的影响。结果:共纳入819例2型糖尿病患者,总体HbA1c水平为7.1%±1.1%。研究对象的总体饮食管理得分为5.0(1.0,7.0),具体日常饮食被划分为中低血糖生成指数(glycemic index,GI)膳食模式、肉类膳食模式、水果膳食模式、高GI/淀粉类膳食模式、蛋奶类膳食模式。结构方程模型结果显示,积极结果预期(β=0.417,P<0.001)、消极结果预期(β=-0.239,P<0.001)和感知风险严重性(β=0.075,P=0.036)影响饮食管理行为意向;饮食管理行为意向影响行动计划(β=0.531,P<0.001)和应对计划(β=0.228,P<0.001);行动计划影响总体饮食管理行为(β=0.183,P<0.001);总体饮食管理行为影响中低GI膳食模式(β=0.133,P<0.001)、水果膳食模式(β=-0.103,P=0.003)、高GI/淀粉类膳食模式(β=-0.110,P=0.002)和蛋奶类膳食模式(β=0.076,P=0.031);中低GI膳食模式(β=-0.086,P=0.013)、肉类膳食模式(β=0.084,P=0.015)影响HbA1c水平。此外,行动自我效能可以影响行为意向(β=0.384,P<0.001)、行动计划(β=0.122,P=0.006)和应对计划(β=0.146,P=0.001)。维持自我效能可以影响行动计划(β=0.170,P<0.001)、应对计划(β=0.408,P<0.001)和总体饮食管理行为(β=0.265,P<0.001)。结论:纳入的2型糖尿病患者的膳食模式存在差异,且每周饮食管理的水平欠佳,HAPA模型对于2型糖尿病患者的膳食模式和血糖控制水平具有较好的解释作用,因此,今后可基于HAPA模型制定针对性的饮食干预,提高患者的总体饮食管理水平,促进患者养成低GI的健康膳食模式,从而改善血糖水平,提高生活质量。展开更多
目的:基于健康行为过程取向模型(Health Action Process Approach,HAPA)构建肺源性心脏病病人自我管理测评量表,并对其信度和效度进行检验。方法:基于HAPA模型,通过文献分析、头脑风暴、专家函询及预调查构建初始量表。2024年10月—12...目的:基于健康行为过程取向模型(Health Action Process Approach,HAPA)构建肺源性心脏病病人自我管理测评量表,并对其信度和效度进行检验。方法:基于HAPA模型,通过文献分析、头脑风暴、专家函询及预调查构建初始量表。2024年10月—12月选取260例肺源性心脏病病人进行调查,对量表进行项目分析及信效度检验。结果:探索性因子分析提取了5个公因子,累计方差解释率为69.989%。构建的肺源性心脏病病人自我管理测评量表包含风险意识、结果预期、自我效能、行动、应对计划5个维度,共27个条目。量表的Cronbach′s α系数为0.966,折半信度为0.845,重测信度为0.886,量表水平的内容效度指数为0.889。结论:构建的自我管理测评量表在肺源性心脏病病人中有较好的科学性和有可靠性,可作为评估肺源性心脏病病人自我管理能力的工具。展开更多
目的探讨基于健康行动过程取向(health action process approach,HAPA)理论模型的健康行为干预方案在心脏起搏器植入术后患者中的应用效果。方法采用便利抽样法,选取2023年7月—2024年2月北京某三级甲等综合医院心脏起搏器植入术后患者...目的探讨基于健康行动过程取向(health action process approach,HAPA)理论模型的健康行为干预方案在心脏起搏器植入术后患者中的应用效果。方法采用便利抽样法,选取2023年7月—2024年2月北京某三级甲等综合医院心脏起搏器植入术后患者154例作为研究对象,按照随机数字表法分为对照组和试验组,两组分别为77例。对照组患者采用常规护理+肩关节功能锻炼指导手册和视频的干预方式,试验组患者采用常规护理+为期3个月的基于HAPA模型的健康行为干预方案。分别在干预前、干预3个月、出院后6个月应用康复运动依从性调查表、成年人健康自我管理能力测评量表对两组患者进行问卷调查,采用6min步行距离评价两组患者的心肺功能。结果干预3个月、6个月后试验组患者康复运动依从性、自我管理能力得分优于对照组,两组比较,差异具有统计学意义(均P<0.05);试验组患者出院后6个月6min步行距离(6-minute walking distance,6MWD)较对照组长,两组比较,差异具有统计学意义(P<0.05)。结论采用基于HAPA理论模型的健康行为干预方案可提高心脏起搏器植入术后患者运动依从性,改善自我管理能力和心肺功能。展开更多
文摘Objective: To explore the effect of Health Action Process Approach (HAPA) theory in patients with type D personality psoriasis. Methods: A total of 66 patients with type D personality psoriasis admitted to the dermatology department of a top-three hospital in Jingzhou City from November 2022 to July 2023 were selected and divided into control group and test group with 33 cases in each group by random number table method. The control group received routine health education, and the experimental group received health education based on the HAPA theory. Chronic disease self-efficacy scale, hospital anxiety and depression scale and skin disease quality of life scale were used to evaluate the effect of intervention. Results: After 3 months of intervention, the scores of self-efficacy in experimental group were higher than those in control group (P P Conclusion: Health education based on the theory of HAPA can enhance the self-efficacy of patients with type D personality psoriasis, relieve negative emotions and improve their quality of life.
基金Youth Project of Inner Mongolia Medical University in 2022(YKD2022QN020)。
文摘The Health Action Process Approach(HAPA),developed by German psychologist Schwarzer in the 1980s,provides a comprehensive framework for understanding and influencing health behavior change.By dividing behavior change into three dynamic stages-pre-intention,intention,and action-HAPA highlights the critical role of self-efficacy as a driving force in adopting healthier behaviors.This stage-based approach addresses the limitations of continuous health behavior models by emphasizing individual differentiation and recognizing that behavior change is not linear but progresses through distinct phases.HAPA theory has demonstrated significant potential in clinical applications,particularly in orthopedic postoperative patients.Its implementation facilitates the development of positive behavioral intentions,enhances self-efficacy,and supports sustained health action,ultimately improving patients’health outcomes and quality of life.Tailored interventions based on HAPA stages ensure that patients receive appropriate guidance and support throughout their recovery journey.Despite its successes,limitations remain.Future research should focus on expanding the application of HAPA to various orthopedic conditions and developing more targeted behavioral plans and health education programs to optimize patient rehabilitation.Additionally,further exploration is needed to sustain HAPA’s effectiveness during long-term recovery.Strengthening interdisciplinary collaboration and integrating HAPA with other theoretical models could create a more comprehensive health behavior education system,providing robust support for orthopedic patients and advancing their overall recovery and well-being.
文摘目的:基于健康行为过程取向模型(Health Action Process Approach,HAPA)构建肺源性心脏病病人自我管理测评量表,并对其信度和效度进行检验。方法:基于HAPA模型,通过文献分析、头脑风暴、专家函询及预调查构建初始量表。2024年10月—12月选取260例肺源性心脏病病人进行调查,对量表进行项目分析及信效度检验。结果:探索性因子分析提取了5个公因子,累计方差解释率为69.989%。构建的肺源性心脏病病人自我管理测评量表包含风险意识、结果预期、自我效能、行动、应对计划5个维度,共27个条目。量表的Cronbach′s α系数为0.966,折半信度为0.845,重测信度为0.886,量表水平的内容效度指数为0.889。结论:构建的自我管理测评量表在肺源性心脏病病人中有较好的科学性和有可靠性,可作为评估肺源性心脏病病人自我管理能力的工具。
