基于计划行为理论注册护士帮助住院患者戒烟行为的研究

鄂丽丽; 洪静芳; 谢伦芳

doi:10.16462/j.cnki.zhjbkz.2016.05.004

基于计划行为理论注册护士帮助住院患者戒烟行为的研究

doi: 10.16462/j.cnki.zhjbkz.2016.05.004

1. 安徽医科大学护理学院内科护理学教研室, 安徽合肥 230032;
2. 安徽省马鞍山市人民医院心血管科, 安徽马鞍山 243000

基金项目:

国家自然科学基金（81101750，81573017）；安徽省高校自然科学研究重点项（KJ2015A083）

详细信息

作者简介:
鄂丽丽(1974-),女,江苏常州人,副主任护师,在读硕士研究生。主要研究方向:临床护理。

中图分类号: R151.4;R181.1
计量
- 文章访问数: 315
- HTML全文浏览量: 70
- PDF下载量: 35
- 被引次数: 0
出版历程
- 收稿日期: 2015-12-13
- 修回日期: 2016-03-23

Study on registered nurses' behaviors of helping hospitalized patients' smoking cessation based on the Theory of Planned Behavior (TPB)

1. Internal Medicine Nursing Teaching and Research Section, School of Nursing, Anhui Medical University, Hefei 230032, China;
2. Department of Cardiology, MaanShan Municipal People's Hospital, Maanshan 243000, China

摘要

摘要: 目的基于计划行为理论探究注册护士帮助住院患者戒烟行为及其影响因素，为采取有效干预措施促进注册护士帮助住院患者戒烟行为提供理论依据。方法以计划行为理论的问卷编制框架为指导，从行为态度、主观规范、感知行为控制、行为意愿、行为五个方面编制注册护士帮助住院患者戒烟问卷，经过信度与效度检验后，使用正式问卷对638名护士进行调查，并通过结构方程模型验证所构建的理论模型。结果基于计划行为理论，注册护士帮助住院患者戒烟的模型解释了护士帮助行为和行为意愿方差变异的43.00%和36.00%，行为意愿的直接作用与感知行为控制的间接作用对帮助行为产生的影响明显。结论针对性地改善行为意愿和感知行为控制是对护士帮助住院患者戒烟行为进行干预的重点。
- 计划行为理论 /
- 注册护士 /
- 烟草控制 /
- 结构方程模型
Abstract: Objective Based upon the Theory of Planned Behavior (TPB), this study aimed to investigate registered nurses' behavior of helping hospitalized patients' smoking cessation and its influencing factors, and thus provide the theoretical basis for taking effective intervention to promote such behavior. Methods With the guidance of the framework of questionnaire development based on TPB, we developed the questionnaire which consisted of five sub-areas: behavioral attitude (BA), subjective norm (SN), perceived behavioral control (PBC), behavioral intention (BI) and behavior (B). After testing reliability and validity, the formal questionnaire was distributed among 638 nurses, and the theoretical model was verified through the structural equation model(SEM). Results The model of registered nurse's behaviors of helping hospitalized patients' smoking cessation based on the TPB explained the 43.00 percent and 36.00 percent of the variance of behavior and the behavioral intention respectively. Among these factors, the direct effect of BI and the indirect effect of PBC on nurses' behavior were statistically significant. Conclusions The targeted improvement of the behavioral intention and perceived behavioral control is the key to the intervention in nurses' behavior of helping hospitalized patients' smoking cessation.
- Theory of planned behavior /
- Registered nurses /
- Smoking cessation /
- Structural equation modeling

HTML全文

参考文献(17)

世界卫生组织烟草或健康合作中心,中国疾病预防控制中心控烟办公室,中国控制吸烟协会医院控烟专业委员会. 中国临床戒烟指南(2007年版,试行本) [J]. 国际呼吸杂志, 2008,28(16):961-970.

张梅,王丽敏,李晓燕,等. 2010年中国成年人吸烟与戒烟行为现状调查 [J]. 中华预防医学杂志, 2012,46(5):404-408.

Popova S, Patra J, Rehm J. Avoidable potion of tobacco-attributable acute care hospital days and its cost due to implementation of different intervention strategies in Canada [J]. Int J Environ Res Public Health, 2009,6(8):2179-2192.

Goldstein MG. Missed opportunities to assist hospitalized smokers [J]. Am J Prev Med, 1999,17:317-318.

段文婷,江光荣. 计划行为理论述评 [J]. 心理科学进展, 2008,16(2):315-320.

Janepanish P, Dancy BL, Park C. Consistent condom use among Thai heterosexual adult males in Bangkok,Thailand [J]. AIDS Care, 2011,23(4):460-466.

Dohnke B, Weiss-Gerlach E, Spies CD. Social influences on the motivation to quit smoking: main and moderating effects of social norms [J]. Addict Behav, 2011, 36(4):286-293.

黄斐,王佳. 基于感知价值的消费者接受行为模型和实证研究 [J]. 商业研究, 2011,(434):19-27.

丁丽英. 基于计划行为理论的福州居民赴台旅游行为意向研究 [J]. 吉林师范大学学报(自然科学版), 2013,(1):117-131.

景建玲,夏海鸥,樊雅静,等. 计划行为理论在孕妇科学补钙行为干预中的应用[J]. 护理学杂志, 2010,25(14):54-57.

Lynn MR. Determination and quantification of content validity [J]. Nursing Res, 1986,35(6):382-385.

Davis LL. Instrument review: getting the most from your panel of experts [J]. Appl Nurs Res, 1992,5(4):194-197.

Bollen KA, Stine RA. Bootstrapping goodness-of-fit measures in structural equation models [J]. Sociol Methods Res, 1992, 21(2):205-229.

Sarna LP, Bialous SA, Kraliková E, et al. Impact of a Smoking Cessation Educational Program on nurses' interventions [J]. J Nurs Scholarsh, 2014,46(5):314-321.

Taniguchi C, Hibino F, Kawaguchi E, et al. Perceptions and practices of Japanese nurses regarding tobacco intervention for cancer patients [J]. J Epidemiol, 2011,21 (5):391-397.

Lepage M, Dumas L, Saint-Pierre C. Teaching smoking cessation to future nurses: Quebec educators' beliefs. [J]. West J Nurs Res, 2015,37 (3):376-393.

王瑞梅,郭继志,杨淑香,等. 某医学院校医学生吸烟行为及控烟认知的调查分析 [J]. 中华疾病控制杂志, 2015,19(6):629-631.

施引文献

资源附件(0)

访问统计