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影响高血压患者遵守治疗的因素基于PRECEDE模型:从延迟折扣角度进行横截面研究
Zhiqing Hu1,2, Huiying Zhang1,2, Yanjun Sun1,2
1Institute of Medical Humanities, Nanjing Medical University, Nanjing 211166, China.
International journal of clinical and health psychology : IJCHP
|February 25, 2025
概括
延迟折扣,一种行为经济学因素,显著影响高血压治疗的坚持. 了解和增强倾向性,强化和启用因素可以改善患者的服从性,以更好地控制高血压.
科学领域:
- 公共卫生 公共卫生
- 行为经济学是一种行为经济学.
- 健康心理学 心理健康心理学
背景情况:
- 高血压是一个主要的全球健康问题,需要有效的管理.
- 坚持治疗对于控制高血压至关重要.
- PRECEDE模型是改变健康行为的框架.
研究的目的:
- 调查影响高血压治疗坚持的因素.
- 将延迟折扣纳入PRECEDE模型的预定因素中.
- 探索延迟折扣和坚持之间的关系.
主要方法:
- 在中国的江苏省 (2023) 进行了1123名高血压患者的横截面研究.
- 收集的人口统计数据,先前的因素 (倾向性,强化,启用) 和延迟折扣.
- 统计分析包括描述性统计和等级回归,遵循STROBE指南.
主要成果:
- 研究的变量解释了高血压治疗坚持率变异的30.4%.
- 倾向因素 (知识,延迟折扣,自我效能),强化因素和激励因素与坚持有显著的联系.
- 延迟折扣成为治疗坚持的重要预测因素.
结论:
- 延迟折扣与坚持高血压治疗有关.
- 改善倾向性,支持性和强化因素可以提高患者的坚持.
- 建议包括教育干预,整合延迟折扣策略,增加社区资源.
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