South Western Sydney Centre for Applied Nursing Research, NSW, Australia.
Heart Lung. 2009 Nov-Dec;38(6):491-8. doi: 10.1016/j.hrtlng.2009.01.008. Epub 2009 Oct 1.
Risk-factor modification after an acute coronary event is imperative, and intervention strategies are continuously being developed to assist patients with behavioral change and, consequently, decreasing the risk of further coronary episodes. This article describes the development of the health-related lifestyle self-management (HeLM) intervention, which is a brief structured intervention embedded within the transtheoretical model of behavioral change. The HeLM intervention was developed by undertaking three discrete yet interrelated studies and consisted of the following components: goal-setting, the HeLM booklet, feedback regarding personal risk, team-building and communication with the patient's family physician, three supportive telephone calls, trained interviewers, a refrigerator magnet, and a health diary for self-monitoring. The HeLM intervention has been successfully implemented in 50 patients with acute coronary syndrome after discharge from hospital and has been demonstrated to be feasible and practical and could easily be delivered by health care professionals.
急性冠脉事件后进行风险因素修正至关重要，目前正在不断开发干预策略，以帮助患者进行行为改变，从而降低再次发生冠脉事件的风险。本文描述了健康相关生活方式自我管理（HeLM）干预的开发，该干预是嵌入行为改变跨理论模型的一种简短的结构化干预。HeLM 干预是通过进行三项独立但相互关联的研究来实现的，包括以下组成部分：设定目标、HeLM 手册、个人风险反馈、团队建设和与患者家庭医生的沟通、三次支持性电话、受过培训的访谈者、冰箱磁铁和用于自我监测的健康日记。HeLM 干预已在 50 名急性冠脉综合征患者出院后成功实施，已证明其具有可行性和实用性，并且很容易由医疗保健专业人员提供。
