A mixed method study on the relationship between health promotion behavior and health locus of control among patients living with pulmonary tuberculosis
10.3761/j.issn.0254-1769.2024.09.001
- VernacularTitle:肺结核患者健康促进行为与健康心理控制源关系的混合研究
- Author:
Dongfang HAN
1
;
Tian TIAN
;
Chang GAO
;
Jingjun ZHANG
;
Xiaomei LI
Author Information
1. 710061 西安市,西安交通大学第一附属医院妇产科
- Keywords:
Pulmonary Tuberculosis;
Health-Promotion Behaviors;
Health Locus of Control;
Mix-Method Study;
Psychological Nursing
- From:
Chinese Journal of Nursing
2024;59(9):1029-1036
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the health promotion behaviors among patients with pulmonary tuberculosis(TB),and to analyze its relationship with health locus of control,in order to provide scientific references for improving TB patients'health-promotion behaviors in clinical nursing care.Methods The interpretive sequence mixed method design was utilized.A convenient sampling was used to enroll 300 TB patients from 2 TB specialized tertiary hospitals in Xi'an as research subjects from January to April 2023.General information questionnaire,Health promoting lifestyle profile-Ⅱ,and Multidimensional health locus of control scale were used to collect data,and single-factor analysis and multiple linear regression analysis were conducted.Purposeful sampling was used to select 11 TB patients for a semi-structured interview,and the Colaizzi 7-step method was used to extract themes.Results In the quantitative study,the total score of health promoting behaviors in 294 TB patients was(110.26±15.74).Patients'intemal health locus of control,chance health locus of control,and occupational status significantly influenced their health-promotion behaviors(P＜0.05).In the qualitative study,4 themes were extracted,including awakening self-awareness of health,the desire to establish a normal life,the distress of multiple uncertainties,and the immediate effect of authoritative guidance.The qualitative and quantitative studies complemented each other and further verified the relationship between health promotion behaviors and health locus of control of TB patients.Conclusion The level of health-promotion behaviors in TB patients needs to be further improved.Nurses need to take systematic health education as an opportunity by the catalytic effect of individual health awareness,to improve their internal locus of control,reduce their opportunity control tendency due to multiple uncertainties,with the ultimate purpose of helping TB patients form and maintain health promotion behaviors.
