摘要
目的 探究非酒精脂肪性肝病(NAFLD)患者参与中医健康管理的影响因素,为优化中医健康管理策略、提高患者参与度及依从性提供依据。方法 基于计划行为理论建立NAFLD患者中医健康管理行为意向模型,采用自行编制的调查问卷对2018年1~6月湖北省中医院体检中心及肝病门诊的NAFLD患者进行问卷调查,使用AMOS 22.0软件进行模型拟合、分析和评价。结果 NAFLD患者中医健康管理行为意向模型与样本数据的适配度良好。行为态度、主观规范和知觉行为控制对行为意向的效应值分别为0.22、0.21和0.21,差异均有统计学意义(均P <0.05)。结论 计划行为理论适用于解释NAFLD患者的中医健康管理意向,在依据计划行为理论提升患者行为意向时,应树立积极的行为态度、重视主观规范的作用、改善知觉行为控制,共同提升患者的行为意向,促进NAFLD中医健康管理的发展与完善。
Objective To explore the influencing factors of non-alcoholic fatty liver disease(NAFLD)patients′participation in health management of tradition Chinese medicine,so as to provide evidence for optimizing health management of tradition Chinese medicine strategies and improving patients′participation and compliance.Methods The theory of planned behavior is used as the theoretical basis for establishing behavioral intention model of health management of tradition Chinese medicine for NAFLD patients.A self-developed questionnaire was used to investigate NAFLD patients in the Medical Examination Center and Liver Disease Outpatient of Hubei Provincial Hospital of Traditional Chinese Medicine from January to June 2018.AMOS 22.0 software was used for model fitting,analysis and evaluation.Results The behavioral intention model of health management of tradition Chinese medicine for NAFLD patients was fitted well with the sample data.The effects of behavioral attitude,subjective norm and perceived behavior control on behavioral intention were 0.218,0.214 and 0.211,respectively,and the differences were statistically significant(all P<0.05).Conclusion The theory of planned behavior is applicable to explain NAFLD patients′intention for health management of tradition Chinese medicine.When promoting the behavioral intention of patients according to the theory of planned behavior,it is necessary to establish a positive behavioral attitude,attach importance to the role of subjective norms and improve perceived behavior control.Jointly enhance the patients′behavioral intention and promote the development and improvement of NAFLD health management of tradition Chinese medicine.
作者
王晖
程艳然
梁海莉
陶军秀
周琼
张楚华
任朦
WANG Hui;CHENG Yanran;LIANG Haili;TAO Junxiu;ZHOU Qiong;ZHANG Chuhua;REN Meng(Department of Hepatology,Hubei Provincial Hospital of Traditional Chinese Medicine,Hubei Province,Wuhan430061,China;Hubei Province Academy of Traditional Chinese Medicine,Hubei Province,Wuhan430074,China;Department of Nursing,Zhongnan Hospital of Wuhan University,Hubei Province,Wuhan430071,China)
出处
《中国医药导报》
CAS
2019年第32期51-54,共4页
China Medical Herald
基金
湖北省卫计委科研立项项目（WJ2017M147）
关键词
计划行为理论
非酒精性脂肪性肝病
中医健康管理
结构方程模型
Theory of planned behavior
Non-alcoholic fatty liver disease
Health management of tradition Chinese medicine
Structural equation model
