基于心血管疾病患者的社会认知理论的干预措施的有效性:系统性审查和元分析
Mengdie Liu1,2, Xiaoyun Xiong1, Dan Xiao1
1Department of Nursing, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, People's Republic of China.
Worldviews on evidence-based nursing
|May 5, 2025
概括
社会认知理论 (SCT) 的干预显著改善了心血管疾病 (CVD) 患者的结果. 这些干预措施降低血压和胆固醇,增强身体能力,提高生活质量,为心脏护理提供了有希望的方法.
科学领域:
- 公共卫生和卫生服务研究研究
- 行为医学是一种行为医学.
- 心脏病学 心脏病学
背景情况:
- 心血管疾病 (CVD) 是一个主要的全球健康问题,影响死亡率和医疗质量.
- 社会认知理论 (SCT) 为理解和修改健康行为提供了一个框架.
- 以SCT为指导的干预措施对于促进患者群体的健康促进行为至关重要.
研究的目的:
- 系统地评估基于社会认知理论的干预措施对改善心血管疾病 (CVD) 患者健康结果的有效性.
- 综合关于SCT干预措施对心血管风险因素,身体能力,心理健康和健康行为影响的证据.
主要方法:
- 在六个数据库中进行了全面的文献搜索和手动参考检查,直到2024年9月.
- 包括的研究评估了心血管风险因素,身体能力 (例如,6分钟步行测试,每天步行),心理状态和健康行为.
- 评估研究质量是使用RCTs的Cochrane RoB 2工具和准实验研究的JBI批判性评估工具进行的.
主要成果:
- 涉及1140名参与者的10项研究表明,SCT干预措施与通常护理相比,显著降低了缩血压,总胆固醇和LDL胆固醇.
- 干预措施导致6分钟步行测试距离,每日步骤,体力活动水平和运动自我效率的显著改善.
- 接受基于SCT的干预治疗的患者报告生活质量有所提高,在关键健康指标上观察到统计学上显著的改善.
结论:
- 基于社会认知理论的干预措施在改善心血管疾病患者的健康状况方面显示出相当大的前景.
- 这些发现强调了应用SCT原则的临床实用性,以改善心血管疾病患者的自我管理和整体福祉.
- 进一步的高质量研究是有必要的,以证实这些好处,考虑到研究的数量有限和潜在的偏见发现.
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