行动研究法在糖尿病患者足部健康行为干预中的应用  

Utilization of Behavior Study in Health Behavior Intervention for Diabetic Feet

作　　者：白姣姣[1] 孙皎[1] 沈宇峰 金霞萍 王素美[1] 王峥[1] 

机构地区：[1]复旦大学附属华东医院护理部,上海200040 [2]上海市曹家渡社区卫生服务中心 [3]上海市石门二路社区卫生服务中心

出　　处：《护理学杂志》2009年第7期11-13,共3页

基　　金：复旦大学附属华东医院科研基金项目(04-013)

摘　　要：目的评价行动研究法在糖尿病患者足部健康行为干预中的效果。方法将上海市3个社区81例糖尿病患者随机分为对照组(42例)和干预组(39例)。对照组给予常规足部健康教育指导;干预组给予以行动研究法为重点的足部健康行为护理干预,即确定、评估问题后按计划、行动、观察、反思、修正计划实施干预,如此螺旋式循环3个阶段后评价两组足病知识、自我效能及自护能力。结果干预组自我效能、自护能力显著优于对照组(均P<0.01);对照组发生足溃疡3例,其中1例截趾;干预组无1例发生足溃疡。结论行动研究法运用于糖尿病患者足部健康干预中能够改善患者的自我效能及自护能力,有效控制和降低糖尿病足的发生与发展。Objective To evaluate the effect of the action research method in foot health behavior intervention for diabetic patients. Methods Eighty one diabetic patients in 3 communities of Shanghai were randomly divided into a control group （42 cases） and an in- tervention group （39 cases）. The control group were given conventional foot health education guidance, intervention group were given foot care health behavior interventions, including steps of problem determinination and assessment, planning, action, obser- vation, reflexion, revision of the plan and implementation. After three cycles of the steps, the podiatrists knowledge, self-efficacy and self-care ability of the 2 groups were evaluated. Results The self-efficacy, self-care of the intervention group were significantly better than those of the control group （P^0.01 for all）. In the control group, there were three cases of foot ulcers, of which 1 case had to cutoff the affected toe, while the intervention group didn＇t develop foot ulcers. Conclusion Action research method ap- plied in foot health interventions for diabetic patients can improve their self-efficacy and self-care ability, and effectively control and reduce the occurrence of diabetic foot.

关 键 词：糖尿病 足部健康 行动研究法 健康行为干预 护理 

分 类 号：R473.5[医药卫生—护理学] R193[医药卫生—临床医学]