摘要目的:探讨基于目标设定理论的健康教育对中青年甲状腺功能亢进患者自我管理行为及生活质量的影响。方法:采用便利抽样法，选择2019年4月—2021年3月首都医科大学附属北京同仁医院收治的110例中青年甲状腺功能亢进患者，根据医院病历末位号奇偶数随机分为观察组与对照组，各55例。对照组给予常规自我管理教育，观察组采用基于目标设定理论的自我管理教育。随访6个月，比较两组的自我管理行为、甲状腺功能、生活质量等指标。结果:随访6个月，观察组患者的饮食行为、用药行为、运动行为、情绪管理评分及自我管理行为总分高于对照组，差异有统计学意义（ P<0.05）；观察组的血清游离三碘甲状腺原氨酸（FT3）、游离四碘甲状腺原氨酸（FT4）水平低于对照组，促甲状腺激素（TSH）水平高于对照组，差异均有统计学意义（ P<0.05）；观察组生理领域、心理领域、环境领域评分及生活质量总分高于对照组，差异有统计学意义（ P<0.05）。 结论:基于目标设定理论的健康教育能够提高中青年甲状腺功能亢进患者的自我管理行为，促进甲状腺功能恢复，改善患者生活质量。

abstractsObjective:To explore the effect of health education based on goal setting theory on self-management behavior and quality of life of young and middle-aged patients with hyperthyroidism.Methods:From April 2019 to March 2021, 110 young and middle-aged patients with hyperthyroidism admitted to Beijing Tongren Hospital Affiliated to Capital Medical University were selected by convenience sampling. According to the odd and even number of the last number of the hospital medical records, the patients were randomly divided into the observation group and the control group, 55 cases each. The control group was given routine self-management education, while the observation group carried out self-management education based on goal setting theory. The patients were followed up for six months to compare the self-management behavior, thyroid function, quality of life and other indicators between the two groups.Results:Follow up for six months showed that the scores of diet behavior, medication behavior, exercise behavior and emotional management and the total score of self-management behavior in the observation group were higher than those in the control group, with statistically significant differences ( P<0.05) . The serum free triiodothyronine (FT3) and free tetraiodothyronine (FT4) in the observation group were lower than those in the control group, and the levels of thyroid stimulating hormone (TSH) were higher than those in the control group, with statistical differences ( P<0.05) . The scores of physiology, psychology, environment and total score of quality of life in the observation group were higher than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Health education based on goal setting theory can improve the self-management behavior of young and middle-aged patients with hyperthyroidism, promote the recovery of thyroid function, and enhance the quality of life of patients.