| 摘要: |
| 目的：观察基于行动过程取向理论（health action process approach，HAPA）模式的八段锦锻炼对亚健康状态肝气不足证大学生的临床疗效。方法：选择2024年3—6月长沙市某高校92名亚健康状态肝气不足证的大学生为研究对象，按随机数字表法将其分为治疗组和对照组，每组各46名。对照组给予基于常规八段锦功法锻炼方案，治疗组给与基于HAPA模式的八段锦锻炼方案，疗程为12周。比较2组治疗前后中医证候积分、自我效能感评分、生活质量评分的变化和临床疗效。结果：总有效率治疗组为91.11%（41/45），对照组为68.18%（30/44），2组比较，差异有统计学意义（P＜0.05）。2组中医证候积分、自我效能感评分治疗前后组内比较及治疗后组间比较，差异均有统计学意义（P＜0.01）；治疗组治疗后生活质量各项评分均优于治疗前（P＜0.01），对照组仅心理功能、躯体功能、社会功能评分优于治疗前（P＜0.05），且治疗组生活质量各项评分改善均优于对照组（P＜0.01）。结论：HAPA模式的八段锦锻炼能有效缓解亚健康状态大学生肝气不足的症状，增强自我效能感，提高生活质量，值得推广应用。 |
| 关键词: 亚健康 肝气不足 HAPA 理论 八段锦 大学生 |
| DOI： |
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| Clinical effect of Baduanjin exercise based on the health action process approach in college students with sub-health status and deficiency of liver Qi |
| WEI Yujuan,CHEN Xun,YU Zhengke |
| (Xiangya School of Medicine，Central South University，Changsha 410013，Hunan，China;Changsha Medical University，Changsha 410200，Hunan，China;Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine，Changsha 410006，Hunan，China) |
| Abstract: |
| Objective: To investigate the clinical effect of Baduanjin exercise based on the health action process approach （HAPA）pattern in college students with sub-health status and deficiency of liver Qi.Methods: From March to June，2024，92 college students with sub-health status and deficiency of liver Qi from a university in Changsha，China，were enrolled as subjects and were divided into treatment group and control group using a random number table，with 46 patients in each group.The students in the control group received conventional Baduanjin exercise，while those in the treatment group received Baduanjin exercise based on the HAPA pattern；the course of treatment was 12 weeks for both groups.The two groups were compared in terms of traditional Chinese medicine （TCM）syndrome，sense of self-efficacy，and quality of life before and after treatment,as well as the clinical effect.Results: There was a significant difference in overall response rate between the treatment group and the control group ［91.11% （41/45）vs 68.18% （30/44），P＜0.05］.After treatment，both groups had significant improvements in TCM syndrome score and self-efficacy score，and there were significant differences in the two scores between the two groups （P＜0.01）.The treatment group had significant improvements in the scores of all dimensions of quality of life after treatment （P＜0.01），while the control group only had significant improvements in the scores of psychological function，physical function，and social role functioning （P＜0.05）；the treatment group had significantly greater improvements in the scores of all dimensions of quality of life than the control group after treatment （P＜0.01）.Conclusion: Baduanjin exercise based on the HAPA pattern can effectively alleviate TCM syndrome，enhance the sense of self-efficacy，and improve the quality of life in college students with sub-health status and deficiency of liver Qi. |
| Key words: sub-health status deficiency of liver Qi health action process approach Baduanjin exercise college students |
