健康行为过程模型在慢性病患者健康管理中的应用进展

doi:10.3761/j.issn.0254-1769.2025.21.017

摘要/Abstract

摘要：

健康行为过程模型是一个包含动机生成与意志调节2个阶段的行为改变模型，系统阐述了健康行为产生、维持与恢复的过程，强调了自我效能、行动和应对计划的重要性，并通过动态识别行为转变的需求与障碍，提高干预的针对性与长期效果。该文综述了健康行为过程模型的起源、理论内容以及在慢性病患者健康管理中的应用现状，并在此基础上提出展望，以期为慢性病患者健康管理方案的优化提供参考。

关键词: 健康行为过程模型, 慢性病, 健康管理, 综述, 护理

Abstract:

Health Action Process Approach is a behavioral change model that consists 2 phases of motivational phase and volitional phase. It provides a systematic framework for the adoption，maintenance，and recovery of health behaviors，and emphasizes the importance of phase-specific self-efficacy，action planning，and coping planning. By dynamically identifying barriers and needs in behavioral change processes，Health Action Process Approach enhances the precision and long-term effectiveness of interventions. This article provides a review of the origins，concept，theoretical content，and current status of application of Health Action Process Approach in the health management of chronic disease patients，and puts forward its research prospects，with the aim of providing a reference for optimizing and implementing health management programs for chronic disease patients.

Key words: Health Action Process Approach, Chronic Disease, Health Management, Review, Nursing Care

王新芸, 孙丽丽, 欧佳元, 温佩婷, 王招娣. 健康行为过程模型在慢性病患者健康管理中的应用进展[J]. 中华护理杂志, 2025, 60(21): 2678-2682.

WANG Xinyun, SUN Lili, OU Jiayuan, WEN Peiting, WANG Zhaodi. Research progress on application of the Health Action Process Approach in health management for chronic disease patients[J]. Chinese Journal of Nursing, 2025, 60(21): 2678-2682.

图/表 1

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