摘要
背景脑卒中发病率逐年上升,行为控制是预防脑卒中直接有效的干预手段。主动健康医学模式提高了慢性病防控的主动性和可及性,而脑卒中患者主动健康行为概念内涵有待探索。目的探索脑卒中患者主动健康认知及行为方式,构建脑卒中患者主动健康行为概念框架。方法2023年8—10月,采用目的抽样方法,选取郑州大学第二附属医院神经内科的26例脑卒中住院患者作为研究对象,运用诠释主义扎根理论方法论,对26例脑卒中患者进行半结构式访谈,通过编码和持续性比较方法对资料进行分析。结果析出主题“脑卒中患者主动健康行为”的10项主范畴和4项核心范畴,包括“健康动机、健康责任、心理健康”3个内在行为,“生活方式管理”1个惯性行为,“主动遵医、社会关系、信息寻求”3个社会行为和“意识觉醒、自我控制、资源可及”3个干预条件,并确立概念框架。结论脑卒中患者主动健康行为概念框架包含内在行为、惯性行为、社会行为和干预条件,该框架有助于脑卒中患者主动健康行为测评工具的进一步开发和个性化干预措施的制订,对促进脑卒中患者主动健康行为的研究及实践具有指导意义。
Background The incidence of stroke is increasing year by year,and behavioral control is a direct and effective intervention means to prevent stroke.Proactive health medical model improves the initiative and accessibility of chronic disease prevention and control,while the concept of proactive health behavior in stroke patients remains to be explored.Objective To explore the level of proactive health cognition and behavior in stroke patients,and construct the conceptual framework of proactive health behavior in stroke patients.Methods From August to October 2023,a total of 26 inpatients with stroke in the Department of Neurology of the Second Affiliated Hospital of Zhengzhou University were selected as the study objects by means of purposive sampling method.Following the grounded theory methodology of interpretivism,26 patients with stroke were interviewed by semi-structured method,and the data were analyzed by coding and persistence comparison methods.Results The 10 main categories and 4 core categories of the theme"proactive health behavior of stroke patients"were separated out,including 3 intrinsic behaviors of"health motivation,health responsibility and mental health",1 habitual behavior of"lifestyle management",3 social behaviors of"active compliance with doctors,social relations and information seeking",and 3 intervention conditions of"consciousness awakenings,self-control and resource availability".And establish the conceptual framework.Conclusion The conceptual framework of proactive health behavior in stroke patients includes intrinsic behavior,habitual behavior,social behavior and intervention conditions.This framework may be helpful for the further development of assessment tools and the formulation of personalized intervention measures,and has guiding significance for promoting the research and practice of proactive health behavior in stroke patients.
作者
周辰茜
林蓓蕾
唐尚锋
张振香
王晓萱
江湖
张杜杜
刘博文
李昕
ZHOU Chenxi;LIN Beilei;TANG Shangfeng;ZHANG Zhenxiang;WANG Xiaoxuan;JIANG Hu;ZHANG Dudu;LIUBowen;LI Xin(School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,China;School of Medicine and Health Management,Huazhong University of Science and Technology,Wuhan 430030,China;The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《中国全科医学》
CAS
北大核心
2025年第5期534-540,547,共8页
Chinese General Practice
基金
国家自然科学基金青年科学基金项目(72104221)
中国博士后科学基金第74批面上资助项目(2023M743197)
河南省高等学校青年骨干教师培养计划项目(2024GGJS013)。
关键词
脑卒中
主动健康行为
概念框架
质性研究
Stroke
Proactive health behavior
Conceptual framework
Qualitative research
