健康信念教育模式对糖尿病足患者载抗生素骨水泥治疗依从性及康复的影响  

Effect of health belief education mode on treatment compliance and rehabilitation of patients with diabetic foot treated with antibiotic-laden bone cement

作　　者：石慧芬 吴湘靓[2] 杨锦[1] SHI Huifen;WU Xiangliang;YANG Jin(Department of Hand and Foot Surgery,Yiwu Central Hospital,Yiwu 322000,China;Department of Cerebrovascular Disease,Yiwu Central Hospital,Yiwu 322000,China)

机构地区：[1]义乌市中心医院手足外科,浙江义乌322000 [2]义乌市中心医院脑血管病科,浙江义乌322000

出　　处：《健康研究》2021年第2期150-154,共5页Health Research

基　　金：义乌市科技计划项目(19-3-17)。

摘　　要：目的探讨健康信念教育模式对糖尿病足患者载抗生素骨水泥治疗依从性及康复的影响,为糖尿病管理团队拟订教育措施、开展有效的健康教育、促进患者术后康复提供依据。方法回顾性分析85例载抗生素骨水泥治疗的糖尿病足患者病历资料,其中接受健康信念模式干预的患者43例(A组),接受常规干预的患者42例(B组),比较2组患者创面康复效果、治疗依从性、自我管理能力、生活质量水平。结果术后1周,A组创面深度、腐肉覆盖率、红肿范围、肉芽情况、分泌物、疼痛程度评分均低于B组;A组饮食控制依从性(97.67%)、运动疗法依从性(90.70%)、遵医用药依从性(100.00%)均高于B组(76.19%、73.81%、88.10%),差异均有统计学意义(P<0.05)。干预前,2组患者自我管理能力、生活质量各维度差异均无统计学意义(P>0.05);干预后,2组生活行为管理、认知管理、疾病管理能力及生活质量各维度得分均高于干预前,且A组高于B组,差异有统计学意义(P<0.05)。结论健康信念模式可有效提高糖尿病足患者载抗生素骨水泥治疗依从性,提高其自我管理能力,加快患者创面的康复,改善生活质量。Objective To explore the effect of the health belief education mode on treatment compliance and rehabilitation of patients with diabetic foot treated with antibiotic-laden bone cement(ALBC),to provide a basis for the diabetes management team to formulate education measures,carry out effective health education and promote postoperative rehabilitation of patients.Methods A total of 85 patients with diabetic foot treated with ALBC were retrospectively analyzed,including 43 patients receiving health belief education mode(group A)and 42 patients receiving the routine intervention(group B).The trauma rehabilitation efficacy,treatment compliance,self-management ability,and quality of life of the two groups were compared.Results One week after the operation,the trauma depth,carrion coverage,swelling range,granulation,secretion,and pain scores in group A were lower than those in group B;the compliance of diet control(97.67%),exercise therapy(90.70%),and medication(100.00%)in group A were higher than those in group B(76.19%,73.81%,and 88.10%),and the differences were statistically significant(P<0.05).Before the intervention,there were no significant differences in self-management ability,and quality of life between the two groups(P>0.05).After the intervention,the scores of life behavior management,cognitive management,disease management ability,and quality of life in the two groups were higher than those before the intervention,and the scores in group A were higher than those in group B,and the differences were statistically significant(P<0.05).Conclusions The health belief education mode can effectively improve the compliance of patients with diabetic foot treated with ALBC,improve their self-management ability,accelerate wound healing,and improve quality of life.The health belief model can effectively improve the compliance of diabetic foot patients undergoing ALBC,improve their self-management ability,accelerate trauma rehabilitation and improve their quality of life.

关 键 词：糖尿病足 载抗生素骨水泥 健康信念模式 治疗依从性 康复效果 

分 类 号：R587.2[医药卫生—内分泌]