| 吴冬,徐鑫,陈瑜.理论域框架在慢性病患者行为改变中的应用：一项范围综述[J].上海护理,2026,26(2): |
| 理论域框架在慢性病患者行为改变中的应用：一项范围综述 |
| Application of Theoretical Domain Framework in Behavior Change among Patients with Chronic Diseases: A Scoping Review |
| DOI： |
| 中文关键词: 理论域框架 慢性病 行为改变 范围综述 |
| 英文关键词:theoretical domains framework chronic diseases behavior change scoping review |
| 基金项目:国家自然科学基金项目（面上项目，重点项目，重大项目） |
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| 中文摘要: |
| 目的：了解理论域框架在慢性病患者行为改变中的应用现状，以期为国内慢性病管理制定和完善干预策略提供思路。方法：以澳大利亚乔安娜布里格斯循证卫生保健中心范围综述指南为方法学框架，系统检索PubMed、OVID-Embase、EBSCO-CINAHL、Web of Science、The Cochrane Library、中国知网、万方、维普和中国生物医学数据库。检索时限为建库至2025年4月28日。结果：共纳入72篇文献，其中质性研究54篇，量性研究9篇及混合研究9篇，以设计访谈提纲、编码访谈资料、开发调查问卷为主要用途，重点关注的慢性病有糖尿病、心脑血管疾病、癌症等，健康相关行为集中在饮食健康、运动锻炼、用药管理、遵医和预防保健行为等方面，与行为改变关联较强的理论域依次为环境与资源、社会影响、知识和结果信念。结论：理论域框架可帮助研究者全面、深入地识别影响慢性病患者行为改变的决定性因素，促进干预措施的制定和完善，以适应不同患者的个性化需求，为慢性病防治提供创新方法论支持。 |
| 英文摘要: |
| Objective: To understand the application status of theoretical domains framework (TDF) in behavior change of patients with chronic diseases, with a view to providing ideas for the development and improvement of intervention strategies for chronic disease management. Methods: Based on the Joanna Briggs Institute (JBI) guidelines for scoping reviews, a systematic search was conducted across the following databases: PubMed, OVID-Embase, EBSCO-CINAHL, Web of Science, The Cochrane Library, CNKI, Wanfang, VIP, and SinoMed, with a time frame from the establishment of the database to April 28, 2025. Results: A total of 72 articles were included, comprising 54 qualitative studies, 9 quantitative studies, and 9 mixed-methods studies. TDF was primarily used for designing interview guides, coding interview data, and developing questionnaires. The chronic diseases of focus included diabetes, cardiovascular and cerebrovascular diseases, and cancer. Health-related behaviors concentrated on dietary health, physical activity, medication management, adherence to medical advice, and preventive health care behaviors. The theoretical domains that have a relatively strong association with behavior change were environment and resources, social influence, knowledge, and beliefs about consequences. Conclusion: TDF can assist researchers in comprehensively and deeply identifying the decisive factors that affect the behavior change of patients with chronic diseases, thereby promoting the formulation and improvement of intervention measures to meet the personalized needs of different patients, and providing innovative methodological support for the prevention and treatment of chronic diseases. |
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