Ruggeri Sunny Y, Emerson Amanda, Russell Cynthia L
School of Nursing and Health Studies, University of Missouri-Kansas City, Missouri, USA.
Dr. Lillian R. Goodman Department of Nursing, Worcester State University, Massachusetts, USA.
Int J Nurs Sci. 2023 Jun 19;10(3):277-287. doi: 10.1016/j.ijnss.2023.06.004. eCollection 2023 Jul.
Chronic disease patients often have unhealthy routines, especially when away from health care professionals. These patients need clear guidance about establishing and maintaining routines. This study aimed to synthesize a definition of the concept of routines for improving health behaviors based on its uses in the literature.
We searched CINAHL, Medline, Scopus, and Google Scholar from January to May, 2022 for articles that included definitions of routines in the context of improving health behavior. We applied no date restriction. The systematic analytic method and Rodgers' evolutionary concept analysis method were used. We charted the attributes, antecedents, and consequences of routines for improving health behaviors, analyzed their uses in the literature, and synthesized the results in a definition of the concept.
At total of 24 articles were included. Attributes of the concept were repeated patterns, controllable by the patient, goal-oriented health, and integration into an overarching lifestyle. Antecedents were individual characteristics and environmental factors. Consequences were psychological, physical, and social well-being at individual and environmental levels.
This clarified definition of routines for improving health behaviors will provide a starting point for future research and, eventually, a basis for clinical nursing interventions to support patients in developing and maintaining healthy routines to promote better patient outcomes.
慢性病患者往往有不健康的生活习惯，尤其是在远离医护人员的时候。这些患者需要关于建立和维持生活习惯的明确指导。本研究旨在根据文献中的用法，综合出一个关于改善健康行为的生活习惯概念的定义。
我们在2022年1月至5月期间检索了CINAHL、Medline、Scopus和谷歌学术，查找包含在改善健康行为背景下生活习惯定义的文章。我们没有设置日期限制。采用系统分析法和罗杰斯的进化概念分析法。我们梳理了改善健康行为的生活习惯的属性、前因和后果，分析了它们在文献中的用法，并综合结果得出该概念的定义。
共纳入24篇文章。该概念的属性包括重复模式、患者可控、以健康为目标以及融入整体生活方式。前因是个体特征和环境因素。后果是个体和环境层面的心理、身体和社会幸福感。
这个关于改善健康行为的生活习惯的明确定义将为未来的研究提供一个起点，并最终为临床护理干预提供依据，以支持患者养成和维持健康的生活习惯，从而促进更好的患者预后。
