临床医学研究与实践2023年3月第8卷第9期Effectsofhealthguidancebasedonbehavioralchangetheorycombinedwithmindfulnessmusicinterventiononfear,psychologicalresilienceandstressresponseinpatientsundergoingextracorporealshockwavelithotripsyGUIJiamei,GAOQing*(theFirstPeople'sHospitalofXianyang,Xianyang712000,China)ABSTRACT:ObjectiveToexploretheeffectsofhealthguidancebasedonbehavioralchangetheorycombinedwithmindfulnessmusicinterventiononfear,psychologicalresilienceandstressresponseinpatientsundergoingextracorporealshockwavelithotripsy.MethodsAtotalof90patientswhounderwentextracorporealshockwavelithotripsyinourhospitalfromJanuary2019toJanuary2021wereselectedastheresearchobjects.Accordingtotheorderofadmission,thepatientsweredividedintocontrolgroupandobservationgroup,with45casesineachgroup.Thecontrolgroupwasgivenroutinenursing,andtheobservationgroupwasgivenhealthguidancebasedonbehavioralchangetheorycombinedwithmindfulnessmusicinterventiononthebasisofthecontrolgroup.Theinterventioneffectsofthetwogroupswerecompared.ResultsAfterintervention,thephysiologicalhealthandsocialfamilyscoresoftheobservationgroupwerelowerthanthoseofthecontrolgroup(P<0.05).Afterintervention,thescoresoftenacity,self-improvementandoptimismintheobservationgroupwerehigherthanthoseinthecontrolgroup(P<0.05).Afterintervention,thelevelsofcortisol(Cor)andangiopoietin-Ⅱ(Ang-Ⅱ)intheobservationgroupwerelowerthanthoseinthecontrolgroup(P<0.05).ConclusionHealthguidancebasedonbehavioralchangetheorycombinedwithmindfulnessmusicinterventioncanhelpimprovethefearofpatientswithextracorporealshockwavelithotripsy,promotepsychologicalresilienceandreducestressresponse.Itisworthpromoting.KEYWORDS:behavioralchangetheory;mindfulnessmusic;extracorporealshockwavelithotripsy;fear;psychologicalresilience;stressresponse基于行为转变理论的健康指导结合正念音乐干预对体外冲击波碎石术患者恐惧情绪、心理弹性及应激反应的影响桂佳梅，高青*（咸阳市第一人民医院，陕西咸阳，712000）摘要：目的探讨基于行为转变理论的健康指导结合正念音乐干预对体外冲击波碎石...
