BCW理论健康教育联合保护动机理论护理在糖尿病足患者中的应用

Application of BCW Theoretical Health Education and Protective Motivation Theory Nursing in Patients with Diabetes Foot

目的探讨糖尿病足(diabetic foot,DF)患者应用行为改变模式(behavior change wheel,BCW)理论健康教育联合保护动机理论护理的效果。方法随机选取2021年6月—2023年6月滨州市中心医院收治的80例DF患者为研究对象,按照不同护理方法分成干预组(n=40)和对照组(n=40)。对照组给予常规护理,干预组给予BCW理论健康教育联合保护动机理论护理,比较两组患者遵医依从性、疼痛程度、自我管理能力。结果干预组遵医总依从率[97.50%(39/40)]高于对照组[80.00%(32/40)],差异有统计学意义(χ^(2)=4.507,P<0.05);干预后,两组患者疼痛视觉模拟评分均降低,且干预组低于对照组,差异有统计学意义(P均<0.05);干预后,两组患者糖尿病患者自我管理行为量表评分均升高,且干预组高于对照组,差异有统计学意义(P均<0.05)。结论DF患者应用BCW理论健康教育联合保护动机理论护理,能够提高患者遵医依从性,缓解疼痛问题,提高其自我管理能力。

Objective To explore the effects of the behavior change wheel(BCW)theory of health education and protective motivation for diabetic foot(DF)patients.Methods A total of 80 DF patients admitted to Binzhou Central Hospital from June 2021 to June 2023 were randomly selected as study subjects and divided into intervention group(n=40)and control group(n=40)according to different nursing method.The control group was given routine nursing,and the intervention group was given BCW theoretical health education combined with protective motivation theoretical nursing.The medical compliance,pain degree and self-management ability of the patients in two groups were compared.Results The total compliance of the intervention group[97.50%(39/40)]was higher than that of the control group[80.00%(32/40)],the difference was statistically significant(χ^(2)=4.507,P<0.05).After the intervention,the pain Visual Analogue Score of both groups was decreased,and the intervention group was lower than the control group,the differences were statistically significant(all P<0.05).After intervention,the scores of Summary of Diabetes Self-care Activities of both groups were increased,and the intervention group was higher than the control group,the differences were statistically significant(all P<0.05).Conclusion BCW health education combined with protective motivation nursing can improve patients'compliance,relieve pain and improve their self-management ability.