He Yu, Guo Lina, Liu Yanjin, Wei Miao, Guo Yuanli, Dong Xiaofang, Yang Caixia, Zhou Qing, Lei Xiaoyu, Zhang Gege, Zhang Mengyu
Department of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.
Department of Nursing, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.
Neuropsychiatr Dis Treat. 2021 Oct 8;17:3085-3095. doi: 10.2147/NDT.S334229. eCollection 2021.
To examine the effectiveness of goal-based health management on health knowledge, health belief and health behavior in people at high risk of stroke.
This is a two-armed and non-randomized controlled trial from May 31, 2020 to December 31, 2020. Participants were arranged to receive regular health care (n=126) or goal-based health management (n=126). The generalized estimation equation was used to analyze the changes in the participants' health knowledge, health belief and health behavior at baseline (T0), 1-month (T1), 3-month (T3), and 6-month (T6).
A total of 243 participants completed the 6-month study, of which 123 were in the control group and 120 were in the intervention group. After receiving goal-based health management, participants' health behavior (27.154, <0.001), health knowledge (10.504, <0.001) and health belief (49.057, <0.001) scores increased significantly.
Goal-based health management can effectively improve the health knowledge, health belief and health behavior of people at high risk of stroke. We recommend that nurses can provide goal-based health management for people at high risk of stroke with support from hospitals and family members of people at high risk of stroke.
探讨基于目标的健康管理对卒中高危人群健康知识、健康信念和健康行为的有效性。
这是一项于2020年5月31日至2020年12月31日进行的双臂非随机对照试验。参与者被安排接受常规医疗保健（n = 126）或基于目标的健康管理（n = 126）。采用广义估计方程分析参与者在基线（T0）、1个月（T1）、3个月（T3）和6个月（T6）时健康知识、健康信念和健康行为的变化。
共有243名参与者完成了为期6个月的研究，其中对照组123人，干预组120人。接受基于目标的健康管理后，参与者的健康行为（27.154，<0.001）、健康知识（10.504，<0.001）和健康信念（49.057，<0.001）得分显著提高。
基于目标的健康管理可有效提高卒中高危人群的健康知识、健康信念和健康行为。我们建议护士可在医院及卒中高危人群家庭成员的支持下，为卒中高危人群提供基于目标的健康管理。
