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Establishment of behavior intention model of Chinese medicine health management in patients with non-alcoholic fatty liver disease |
WANG Hui1,2* CHENG Yanran3* LIANG Haili1,2▲ TAO Junxiu1,2 ZHOU Qiong1,2 ZHANG Chuhua1,2 REN Meng1,2 |
1.Department of Hepatology, Hubei Provincial Hospital of Traditional Chinese Medicine, Hubei Province, Wuhan 430061, China;
2.Hubei Province Academy of Traditional Chinese Medicine, Hubei Province, Wuhan 430074, China;
3.Department of Nursing, Zhongnan Hospital of Wuhan University, Hubei Province, Wuhan 430071, China |
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Abstract 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.
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[1] 非酒精性脂肪性肝病防治指南(2018年更新版)[J].实用肝脏病杂志,2018,21(2):177-186.
[2] Seto WK,Yuen MF. Nonalcoholic fatty liver disease in Asia:emerging perspectives [J]. J Gastroenterol,2017,52(2):164-174.
[3] Leoni S,Tovoli F,Napoli L,et al. Current guidelines for the management of non-alcoholic fatty liver disease:A systematic review with comparative analysis [J]. World J gastroenterol,2018,24(30):3361-3373.
[4] 韩新英.中医健康管理服务的现状与发展展望[J].中医药管理杂志,2018,26(22):8-10.
[5] 李圣洁.中医特色慢病管理在非酒精性脂肪性肝病患者中的应用研究[D].武汉:湖北中医药大学,2018.
[6] 王国栋.体质辨识为基础的中医健康管理模式防治非酒精性脂肪性肝病的研究[D].长沙:湖南中医药大学,2016.
[7] 朱茂龙.痰湿方联合健康管理治疗非酒精性脂肪性肝炎的临床观察[D].武汉:湖北中医药大学,2017.
[8] 蒋俊民,曹敏玲,池晓玲,等.非酒精性脂肪肝体质分类特点及健康调养效果分析[J].湖南中医杂志,2016,32(6):10-12.
[9] 王晖,高清华,张楚华,等.非酒精性脂肪性肝病患者生存质量调查分析[J].时珍国医国药,2018,29(8):1906-1908.
[10] 张雯琦,钱萍,许美.非酒精性脂肪肝病患者基础治疗依从性调查[J].护理学杂志,2009,24(19):32-34.
[11] 史琦玉.非酒精性脂肪肝患者生活方式干预依从性调查[D].天津:天津医科大学,2015.
[12] 邓惠萍,孔德议,许安心.“80后”中医消费行为实证研究-基于计划行为理论[J].福建农林大学学报:哲学社会科学版,2018,21(5):90-95.
[13] 赵明.行为意向相关理论研究进展[J].长春师范学院学报,2012,31(5):7-8.
[14] Rich A,Brandes K,Mullan B,et al. Theory of planned behavior and adherence in chronic illness:a meta-analysis [J]. J Behav Med,2015,38(4):673-688.
[15] 范建高.非酒精性脂肪性肝病诊疗指南(2010年修订版)[J].胃肠病学和肝病学杂志,2010,19(6):483-487.
[16] Francis J,Eccles MP,Johnston M,et al. Constructing questionnaires based on the theory of planned behaviour:A manual for health services researchers [EB/OL]. http://openaccess.city.ac.uk/1735/,2018-11-10.
[17] 武松.SPSS统计分析大全[M].北京:清华大学出版社,2014:384-387.
[18] 徐倩.非酒精性脂肪性肝病患者自我管理量表的初步编制及信效度检验[D].武汉:湖北中医药大学,2018.
[19] 刘可.如何进行内容效度的检验[J].护士进修杂志,2010, 25(1):37-39.
[20] 吴明隆.结构方程模型Amos实务进阶[M].重庆:重庆大学出版社,2013:79-80,136-141.
[21] 俞惠琴,周峰,刘晓红,等.社区流程化管理对非酒精性脂肪肝病人知信行的影响[J].中国初级卫生保健,2013, 27(5):19-21.
[22] 罗登旭,廖宇,宋翊,等.重庆市非酒精性脂肪性肝病患者就诊需求调查[J].中国继续医学教育,2016,8(31):26-27.
[23] 梁红,马岚青.普通人群及医务人员非酒精性脂肪肝认知现状及相关因素的研究进展[J].世界华人消化杂志,2015,23(33):5303-5310.
[24] 王雷霞,陈奕君,李洁,等.甘肃省基本公共卫生服务重点人群知晓率及满意度调查[J].中国公共卫生管理,2018, 34(6):769-772.
[25] 许佳敏,张晓丹,吕军,等.上海市某医院体检人群对健康管理的认知和需求[J].医学与社会,2018,31(2):24-27.
[26] 林晓婷,贺琲珺,管圆.综合干预对痰湿体质的轻中度非酒精性单纯性脂肪肝疗效观察[J].中国疗养医学,2018, 27(5):479-482.
[27] 兰静,单丽华,胡小华.健康教育改善脂肪肝患者不良生活方式的效果分析[J].当代护士:学术版,2011(10):149-150.
[28] 梁红.普通人群及医务人员非酒精性脂肪肝认知现状及相关因素的研究[D].昆明:昆明医科大学,2016.
[29] Blais P,Husain N,Kramer JR,et al. Nonalcoholic fatty liver disease is underrecognized in the primary care setting [J]. Am J Gastroenterol,2015,110(1):10-14.
[30] 董春艳,李冬静,薄素焕.唐山市丰南区脂肪肝相关因素调查分析[J].河北医药,2011,33(6):928-930.
[31] 李文利,许妍,赵卫红.自我管理教育模式对非酒精性脂肪性肝病患者生活质量的影响[J].护理与康复,2009, 8(4):276-277.
[32] 叶丽丽,张丽丽,陈桃红,等.健康教育对2型糖尿病合并非酒精性脂肪肝患者的干预效果观察[J].中国医药科学,2018,8(2):149-151.
[33] 方英,戴莉敏,谢菲,等.随访干预对糖尿病合并非酒精性脂肪肝患者自我效能和应对方式的影响研究[J].中国护理管理,2013,13(10):106-109.
[34] 刘怡辰.城乡居民医保对中老年居民就医选择的影响[D].广州:华南理工大学,2018.
[35] 刘菁,郑碧霞,张丽花.非酒精性脂肪肝患者就诊行为的影响因素[J].山东医药,2010,50(4):82-83. |
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