目的 在医学生中实施行为改变计划, 探索和研究行为改变计划对医学生不良生活行为改善的效果。方法 选取攀枝花学院医学院2015级和2016级本科临床医学专业332名医学生为研究对象, 参加行为改变计划, 要求他们设定一个改变目标、跟踪执行进度并对目标达成情况进行评估。结果 90.4% （300/332） 的医学生选择了运动、睡眠和学习/工作习惯作为目标。57.2% （190/332） 的医学生完成了预定目标, 73.5% （244/332） 的医学生愿意再次参与行为改变计划;医学生整体上对于参与行为改变计划呈积极态度, 学习压力以及对自身的高期望值是影响医学生完成计划的主要原因。结论 行为改变计划可以用于改善医学生的不良生活行为。
Objective To investigate the behavior change plan (BCP) in changing the adverse health behavior in medical student. Methods 332 undergraduate students of 2015 and 2016 grade participated in a BCP. Participants were required to set a goal, tracked progress, and self-assessed success. Results 90.4%(300/332) undergraduate students selected exercise, sleep or study/work habits as their behavior change target. 57.2%(190/332) undergraduate students achieved their goal, 73.5%(244/332) undergraduate students indicated they would use the process again. Medical students show positive attitude to BCP, the study pressure and high expectation value are the main causes of the failure of the BCP. Conclusions BCP could improve medical student unhealthy life behavior.
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