基于能力机会动机-行为模型的全程健康教育在肝硬化患者中的应用

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Application of Whole-course Health Education Based on Capacity,Opportunity, Motivation-behaviorModelforPatientswithLiverCirrhosis

CHEN Lilin,CHEN Jiahua,LIN Sujiao

(GastroenterologyDepartment,Xiamen Fifth Hospital,Xiamen36l1O1,China)

AbstractObjective:Toexplorethe influenceofwhole-course healtheducationbasedontheCapacity,Opportunity,MotivationBehaviorModel(COM-B）onthesleepqualityof patients withdecompensatedcirrhosis.Methods:Atotalof1O5patients withdecompensatedcirhosisadmitedto XiamenFifth HospitalfromJune2O23toMay2O25wereselectedas theresearchobjects.They were divided into the observation group( n=51 ,who received full-course health education intervention based on the COM-B model）and the control group( n=54 ,who received conventional nursing intervention）according to the admisson time.The self-care ability,sleepquality,averagedailyslepdurationandthenumberofawakeningsinthetwogroupswerecolectedand compared.Results:Subscalescoresinself-conceptealthnowledgelevel,self-responsibilityandself-careskilsineEecie of Self-CareAgency(ESCA）Scale,andtheaveragedailysleptimeof theobservationgroupafter interventionwerehigherhan that of thecontrol group.The Pitsburgh SleepQuality Index(PSQI）scoreand thenumberof awakenings werelowerthan thoseof the control group( P

KeywordsCapacity,Opportunity,Motivation-Behavior Model;Healtheducation;Sleepquality；Plysomnography; Livercirho sis；Decompensation stage； Self-efficacy； Sleep disorder

中图分类号：R473.5;R338.63 文献标识码：A doi:10.3969/j.issn.2095-7130.2025.10.051

肝硬化通常是由长期、反复病因作用而导致的肝脏弥漫性损害，其中肝硬化失代偿期是较为严重的肝病阶段，病程较长、病情易反复发作，此阶段患者的身体功能和心理情绪均面临严峻挑战[1-2]。（剩余6756字）