行为转变理论在糖尿病足高危病人自护行为干预中的应用  

Application of behavioral change theory in self-care behavior intervention of high-risk patients with diabetic foot

作　　者：秦玲[1] 高俊香[1] 田素斋[1] 王磊磊[1] 王红红[1] 

机构地区：[1]河北医科大学第二医院

出　　处：《护理研究（中旬版）》2015年第11期4003-4006,共4页Chinese Nursing Researsh

基　　金：河北省卫生厅科研基金项目;编号:20130480

摘　　要：[目的]探讨以行为转变理论为指导的护理干预对糖尿病足高危病人自我护理行为的影响。[方法]将68例糖尿病足高危病人随机分为干预组和对照组各34例,对照组采用常规护理,干预组实施以行为转变理论为指导的护理干预,分别于干预前、干预后3个月、6个月对病人的足部自我护理知识、自我效能、足部自我护理频率、足部皮肤情况进行测评和调查。[结果]干预后,干预组病人足部自我护理知识、自我效能、足部护理行为改善优于对照组,足部皮肤干燥情况得到改善。[结论]以行为转变理论为指导的护理干预可以帮助病人建立规律的自我护理行为,从而延缓和预防糖尿病足的发生。Objective：To probe into the effect of nursing intervention,which based on the behavior change theory on self- care behavior of high -risk diabetic foot patients. Methods： A total of 68 cases of high- risk diabetic foot patients were randomly divided into intervention group and control group,34 cases in each group. The patients in control receired used conventional care. The patients in intervention group were given the nursing intervention based on the behavior change theory. The patients ~ foot self- care knowledge, self- efficacy and foot self- care frequency, foot skin conditions were evaluated and investigated at 3 months before the intervention, 3 months af- ter the intervention,6 months before the intervention,and 6 months after the intervention. Results：After inter- vention, the patients in intervention group were better than those in control group in the aspects of the foot self- care knowledge and self - efficacy and foot self - care behavior. Conclusion, Nursing intervention based on the be- havior change theory may help patients to establish regular self - care behaviors, thus delaying and preventing the occurrence of diabetic foot.

关 键 词：糖尿病足 高危病人 行为转变理论 足部自我护理行为 

分 类 号：R473.58[医药卫生—护理学]