Model test to improve self-management behavior of middle-aged stroke patients: based on the integration of health belief model and planned behavior theory
10.3760/cma.j.issn.1672-7088.2019.23.005
- VernacularTitle: 提高中年脑卒中患者自我管理行为的模型检验：基于健康信念模式与计划行为理论的整合
- Author:
Yaoyao LI
1
;
Taoran JU
1
;
Miao TUO
2
;
Tingting XIA
1
;
Fuguo YANG
1
;
Haixia FAN
1
;
Guangning WANG
1
Author Information
1. Qingdao University School of Nursing, Qingdao 266000, China
2. Department of Neurology, the Affiliated Hospital of Qingdao University, Qingdao 266003, China
- Publication Type:Clinical Trail
- Keywords:
Health belief model;
Theory of planned behavior;
Self-management;
Behavior;
Multilevel analysis model
- From:
Chinese Journal of Practical Nursing
2019;35(23):1784-1789
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To examine the integrated model of self-management behavior in middle-aged stroke patients based on health belief model and planned behavior theory.
Methods:A self-designed general information questionnaire, self-management behavior cognition and attitude questionnaire and self-management behavior scale, were used to investigate 654 cases of first middle-aged stroke patients in the neurology department of 3 grade a hospitals in Qingdao.
Results:The standardization factor load of each theoretical dimension in the theoretical integration model was 0.51-0.91 (0.72±0.11). Behavioral intention had a direct positive predictive effect on self-management behavior, with an effect value of 0.49 (t = 7.41, P < 0.01). Perceived behavior control not only had a direct positive prediction effect on self-management behavior, but also indirectly influenced self-management behavior through behavioral intention. The effect values are 0.12 (t = 2.75, P < 0.05) and 0.04 (t = 2.18, P < 0.05), respectively. Behavioral attitude exerts influence on self-management behavior through behavioral intention, and the effect value is 0.40 (t = 14.71, P < 0.01). Subjective norms not only influenced self-management behavior through behavioral intention, but also indirectly influenced behavioral intention and self-management behavior through behavioral attitude, with the effect value of 0.25. The effects of perceived benefits and perceived severity on self-management behaviors were 0.21 and 0.04, respectively. The theoretical integration model can explain 62% variance variation of self-management behavior.
Conclusion:The theoretical integration model of self-management behavior of middle-aged stroke patients based on the health belief model and planned behavior theory can better explain the behavior. This model can be applied to stroke patients in an attempt to provide theoretical basis for the formulation of personalized nursing measures for stroke patients.
