基于行为改变模式理论的健康教育提高消化性溃疡患者遵医行为及自护能力的成效  

Effect of health education based on behavior change wheel theory on improving compliance behavior and self-care ability of patients with peptic ulcer

作　　者：黄智敏 左巍 李芳 刘娜 邱秀林 丁丹丹 HUANG Zhimin;ZUO Wei;LI Fang;LIU Na;QIU Xiulin;DING Dandan(Shenzhen People's Hospital,Shenzhen,518020,China)

机构地区：[1]广东省深圳市人民医院(暨南大学第二临床医学院,南方科技大学第一附属医院)龙华分院消化内科,518020

出　　处：《护理实践与研究》2023年第2期245-249,共5页Nursing Practice and Research

摘　　要：目的探讨基于行为改变模式(BCW)理论的健康教育对消化性溃疡患者遵医行为及自护能力的影响。方法选取2021年1—12月医院消化内科收治的消化性溃疡患者100例为研究对象,按照组间基本资料均衡可比的原则分为观察组和对照组,每组50例。对照组行常规健康教育,观察组在对照组基础上行基于BCW理论的健康教育,比较两组患者干预前后遵医行为、自护能力、生活质量评分改善情况。结果两组患者干预前遵医行为、自护能力、生活质量评分及各维度评分比较,差异均无统计学意义(P>0.05)。干预后,两组患者遵医行为、自护能力及生活质量评分及各维度评分均提高,组间比较观察组均高于对照组,差异均具有统计学意义(P<0.05)。结论基于BCW理论的健康教育可提高消化性溃疡患者遵医行为及自护能力,从而改善患者生活质量。Objective To explore the influence of health education based on behavior change wheel(BCW)theory on compliance behavior and self-care ability of patients with peptic ulcer.Methods A total of 100 patients with peptic ulcer admitted to the department of gastroenterology of the hospital from January to December 2021were selected as the study objects.According to the principle of balanced and comparable basic data between groups,they were divided into an observation group and a control group,with 50 patients in each group.The control group received routine health education,while the observation group received health education based on BCW theory on the basis of the control group to compare the improvement of compliance behavior,self-care ability and quality of life scores of patients in the two groups before and after the intervention.Results Before the intervention,there was no significant difference in the compliance behavior,self-care ability,quality of life scores and each dimension scores between the two groups(P>0.05).After the intervention,the compliance behavior,selfcare ability,quality of life scores and each dimension scores of the two groups were improved,the comparison between the two groups showed that the scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Health education based on BCW theory can improve the compliance behavior and self-care ability of patients with peptic ulcer,thereby improving the quality of life of patients.

关 键 词：行为改变模式 健康教育 消化性溃疡 遵医行为 自护能力 生活质量 

分 类 号：R473.5[医药卫生—护理学]