实用老年医学 ›› 2026, Vol. 40 ›› Issue (1): 99-103.doi: 10.3969/j.issn.1003-9198.2026.01.020

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基于Fogg行为模型构建老年肝硬化病人健康相关行为干预方案及应用

黄蕊, 刘梅红   

  1. 210029 江苏省南京市,南京医科大学第一附属医院消化科
  • 收稿日期:2025-06-26 发布日期:2026-01-16
  • 通讯作者: 刘梅红,Email:67496437@qq.com
  • 基金资助:
    江苏省人民医院 2022年度临床能力提升项目(JSPH-NC-2022-13)

Establishment and application of health-related behavior intervention program in elderly patients with cirrhosis based on Fogg behavior model

HUANG Rui, LIU Meihong   

  1. Department of Gastroenterology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
  • Received:2025-06-26 Published:2026-01-16
  • Contact: LIU Meihong, Email:67496437@qq.com

摘要: 目的 构建基于Fogg行为模型的老年肝硬化病人健康相关行为干预方案,并探究其应用效果。 方法 组建研究小组,查阅相关文献,构建基于Fogg行为模型的老年肝硬化病人健康相关行为干预方案,并选取152例老年肝硬化病人开展随机对照研究,探究其应用效果。 结果 经2轮函询,形成基于Fogg行为模型的老年肝硬化病人健康相关行为干预方案,包括3个干预阶段的10项干预措施。2轮专家函询Cr值分别为0.895和0.930。应用结果显示,干预后,研究组自我管理行为评分为(82.19±8.97)分,显著高于对照组的(74.16±9.86)分(P<0.05),且其自我效能感评分为(32.87±3.28)分,显著高于对照组的(28.43±5.11)分(P<0.05)。 结论 基于Fogg行为模型构建的老年肝硬化病人健康相关行为干预方案,能够显著提高病人自我管理行为和自我效能感。

关键词: Fogg行为模型, 老年人, 肝硬化, 健康相关行为, 干预方案, 应用效果

Abstract: Objective To construct a health-related behavior intervention program based on Fogg behavior model and to explore its application effect. Methods A research team was established to consult relevant literature, construct a health-related behavioral intervention program for elderly patients with cirrhosis based on Fogg behavior model, and 152 elderly patients with cirrhosis were selected to carry out a randomized controlled study to explore its application effect. Results After 2 rounds of letter inquiry, a health-related behavior intervention program based on Fogg behavior model was formed, including 10 intervention items in 3 intervention stages. The Cr value of the two rounds of expert correspondence letters was 0.895 and 0.930, respectively. The application results showed that after the intervention, the self-management behavior score in the study group was 82.19±8.97, compared with 74.16±9.86 in the control group (P<0.05), and the self-efficacy score in the study group was 32.87±3.28, compared with 28.43±5.11 in the control group (P<0.05). Conclusions The health-related behavior intervention program based on Fogg behavior model can significantly improve patients’ self-management behavior and self-efficacy.

Key words: Fogg behavior model, aged, cirrhosis, health-related behavior, intervention program, application effect

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