基于健康行动过程导向理论,为患有冠状动脉疾病的绝经前期患者构建一个风险因素干预计划
Ping Huang1, Lingsha Wu1, Fang Li1
1Department of Cardiovascular Medicine, The Second Hospital of JiaXing, Jia Xing, Zhe Jiang, People's Republic of China.
这项研究开发了一项风险因素干预计划,用于患有冠心病的绝经前妇女,使用健康行动过程导向理论. 该计划旨在帮助妇女减少心脏病的可控制风险因素.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 绝经前妇女面临冠心病 (CHD) 的风险增加.
- 在这个人口群体中,可控制的冠心病风险因素需要有针对性的干预策略.
- 现有的干预措施可能无法完全满足患有心血管疾病的绝经前妇女的独特需求.
研究的目的:
- 为患有冠心病的绝经前期患者构建一个全面的风险因素干预计划.
- 应用健康行动过程导向 (HAPO) 理论来指导干预开发.
- 为绝经前妇女提供基于证据的参考资料,以管理心脏病风险因素.
主要方法:
- 文献,指导方针和专家共识的回顾性分析关于绝经前妇女心脏病风险因素.
- 定性采访以了解患者的认知能力和对心脏康复坚持治疗的动机.
- 基于HAPO理论和专家通信的干预计划的制定.
主要成果:
- 专家达成共识,通过两轮的试验获得了100%的积极反应率.
- 高专家判断 (Ca=0.955),熟悉度 (Cs=0.964) 和权威度 (Cr=0.960) 的系数.
- 一个结构化的干预计划开发了3个1级,10个2级和42个3级的条目,显示出显著的专家协议 (肯德尔的W).
结论:
- 开发的干预计划是科学构建的,基于HAPO理论.
- 干预内容是根据患有心血管疾病的绝经前期患者的特定特征量身定制的.
- 该计划提供了有针对性的策略,以有效地管理和减少该人群中CHD风险因素.
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