主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (8): 1264-1269.doi: 10.3969/j.issn.1672-1756.2025.08.026

• 专科管理 • 上一篇    下一篇

中青年高血压患者控盐行为干预方案的构建

葛澜 官雪薇 汤磊雯 钟瑜镁 朱倩寅 王莺 吴小燕 宋国港 兰美娟   

  1. 浙江大学医学院附属第二医院护理部,310009 杭州市
  • 出版日期:2025-08-15 发布日期:2025-08-15
  • 通讯作者: 兰美娟,硕士,主任护师,护理部主任,E-mail:lanmj@zju.edu.cn
  • 作者简介:葛澜,硕士在读
  • 基金资助:
    浙江大学“双一流”建设护理优势特色学科科研培育基金立项项目(HL2024017);2024年浙江大学科研成果转化工作立项课题重点项目(ZHZ202403)

Construction of a salt-control behavior intervention program for middle-aged and young hypertensive patients

GE Lan, GUAN Xuewei, TANG Leiwen, ZHONG Yumei, ZHU Qianyin, WANG Ying, WU Xiaoyan, SONG Guogang, LAN Meijuan   

  1. Department of Nursing, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, China
  • Online:2025-08-15 Published:2025-08-15
  • Contact: E-mail:lanmj@zju.edu.cn

摘要: 目的:基于简化、吸引力、社会性、及时性行为干预原则和助推理论构建中青年高血压患者控盐行为干预方案,为进一步改善中青年高血压患者控盐行为提供参考。方法:在文献研究和质性访谈的基础上形成中青年高血压患者控盐行为干预方案初稿,于2024年7月—11月采用德尔菲专家函询法对12名专家进行2轮函询,形成干预方案终稿。结果:两轮专家函询问卷的有效回收率分别为92%和100%,专家权威系数分别为0.850、0.884,两轮函询条目重要性和可行性的肯德尔和谐系数分别为0.267、0.204和0.275、0.210(均P<0.05),重要性、可行性变异系数分别为0.06~0.40、0.10~0.45和0~0.22、0~0.20。最终形成的干预方案包含简化、吸引力、社会性和及时性4个一级条目和11个二级条目、15个三级条目。结论:构建的中青年高血压患者控盐行为干预方案具有科学性和针对性,可为中青年高血压患者控盐行为管理的相关护理措施提供借鉴依据。

关键词: 助推;EAST;高血压;控盐;方案构建

Abstract: Objective: To construct a salt-control behavior intervention program for middle-aged and young hypertensive patients based on the Easy, Attractive, Social and Timely (EAST) behavioral intervention principles and nudge theory and provide references for further improving salt-control behavior of middle-aged and young hypertension patients. Methods: The first draft of the salt-control behavior intervention program was constructed through literature review and qualitative interviews. Totally 2 rounds of expert consultations with 12 experts were performed by Delphi method to establish the final salt-control behavior intervention program for middle-aged and young hypertension patients from July to November 2024. Results: The effective response rates of 2 rounds of the questionnaire were 92% and 100%, respectively; the experts authority coefficients were 0.850, 0.884, respectively; the Kendall's concordance coefficients of the importance and the feasibility of each item in the 2 rounds were 0.267, 0.204 and 0.275, 0.210, respectively (all P<0.05); the variation coefficients for importance and feasibility were 0.06-0.40, 0.10-0.45 and 0-0.22, 0-0.20, respectively. The final program included 4 first-level items (Easy, Attractive, Social and Timely), 11 second-level items and 15 third-level items. Conclusion: The constructed salt-control behavior intervention program for middle-aged and young hypertensive patients in the study is scientific, specific, which provides references for nursing measures of salt-control behavior management in middle-aged and young hypertension patients.

Key words: nudge; EAST; hypertension; salt-control; program construction

中图分类号:  R47;R197