Gao Jia, Pan Qiong, Li Sai Lan, Chen Shaolin, Luo Baolin, Chen Liangwan, Lin Yanjuan
Department of Cardiac Surgery Nursing, Fujian Medical University Union Hospital, Fuzhou, China.
Department of Nursing, Fujian Medical University Union Hospital, Fuzhou, China.
BMJ Open. 2025 Mar 5;15(3):e076181. doi: 10.1136/bmjopen-2023-076181.
This study aimed to understand influencing factors of health promotion behaviour in patients with aortic dissection (AD) using the capability, opportunity, motivation, behaviour (COM-B) model of behaviour.
A descriptive qualitative design was adopted. Data were collected using face-to-face semi-structured interviews and analysed using directed content analysis.
Fujian Medical University Union Hospital.
A purposive sample of 16 patients with AD.
The following themes and subthemes were identified. Psychological capability: (1) lack of disease knowledge; physical capability: (1) physical function limitation; (2) fatigue; physical opportunity: (1) limited access to disease knowledge; (2) communication between providers and patients; (3) objective condition restriction; social opportunity: (1) stigma; (2) social support; reflective motivation: (1) self-efficacy; (2) perceived benefits; (3) personal and family responsibilities; automatic motivation: (1) post-traumatic growth; (2) fear of disease progression.
This study adopted a novel approach to understanding factors affecting health promotion behaviour among patients with AD. Interventions can be implemented using the Behaviour Change Wheel framework and study findings to improve health promotion behaviour in this patient population.
本研究旨在运用行为的能力、机会、动机、行为（COM-B）模型，了解主动脉夹层（AD）患者健康促进行为的影响因素。
采用描述性定性设计。通过面对面半结构化访谈收集数据，并采用定向内容分析法进行分析。
福建医科大学附属协和医院。
16例AD患者的目的抽样样本。
确定了以下主题和子主题。心理能力：（1）疾病知识缺乏；身体能力：（1）身体功能受限；（2）疲劳；身体机会：（1）疾病知识获取受限；（2）医护人员与患者之间的沟通；（3）客观条件限制；社会机会：（1）耻辱感；（2）社会支持；反思性动机：（1）自我效能感；（2）感知益处；（3）个人和家庭责任；自动性动机：（1）创伤后成长；（2）对疾病进展的恐惧。
本研究采用了一种新颖的方法来理解影响AD患者健康促进行为的因素。可使用行为改变轮框架和研究结果实施干预措施，以改善该患者群体的健康促进行为。
