Department of Burn and Plastic Surgery, the First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Department of Endocrinology, the First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Int Wound J. 2022 Jan;19(1):202-210. doi: 10.1111/iwj.13622. Epub 2021 Jun 2.
This study aimed to explore the impact of nursing intervention based on staged behaviour change (SBC) on the quality of life (QoL) and self-efficacy of diabetic patients with scalds. From January 2020 to January 2021, a total of 82 consecutive cases with diabetes and scalds were prospectively enrolled in this study. They were divided into the SBC group (41 cases were given SBC-based nursing intervention) and the control group (41 cases were given routine intervention) using the random number table method. The granulation tissue growth time and wound healing time were compared between the two groups. Pain intensity, QoL, self-efficacy, and score of wound exudation at 3, 7, and 15 days after intervention were observed. The granulation tissue growth time and wound healing time of the SBC group were lower than those of the control group with statistical difference (P < 0.05). The 3-, 5-, and 7-day pain intensity of the SBC group were all lower than those of the control group, with statistical difference (P < 0.05, respectively). Before intervention, there were no significant differences in mental health, role emotional, social function, vitality status, physical pain, role physical, physical function, and general health between the two groups (P > 0.05, respectively). After intervention, the above indicators of the SBC group were significantly higher than those of the control group (P < 0.05, respectively). Before intervention, there were no significant differences between the two groups in communication with doctors, emotional communication, role function, symptom management, medication as prescribed, and control of water and salt intake and nutrition (P > 0.05, respectively). After intervention, the above indicators in the SBC group were all significantly higher than those in the control group (P < 0.05, respectively). The score of wound exudation of the SBC group was lower than that of the control group after intervention (P < 0.05). SBC-based nursing intervention can effectively improve the QoL and self-efficacy of diabetic patients with scalds and can effectively promote wound healing, and can be recommended for clinical use.
本研究旨在探讨基于阶段性行为改变（SBC）的护理干预对糖尿病烫伤患者生活质量（QoL）和自我效能的影响。2020 年 1 月至 2021 年 1 月，前瞻性纳入 82 例糖尿病烫伤患者，采用随机数字表法分为 SBC 组（41 例给予 SBC 护理干预）和对照组（41 例给予常规干预）。比较两组肉芽组织生长时间和创面愈合时间，观察两组患者干预后第 3、7、15 天疼痛强度、QoL、自我效能及创面渗液评分。SBC 组的肉芽组织生长时间和创面愈合时间均低于对照组，差异有统计学意义（P<0.05）。SBC 组第 3、5、7 天疼痛强度均低于对照组，差异有统计学意义（P<0.05）。干预前，两组患者的心理健康、角色情绪、社会功能、活力状态、躯体疼痛、角色躯体、躯体功能和总体健康评分差异无统计学意义（P>0.05）。干预后，SBC 组的上述评分均高于对照组，差异有统计学意义（P<0.05）。干预前，两组患者与医生沟通、情绪沟通、角色功能、症状管理、遵医嘱用药、水盐摄入和营养控制评分差异无统计学意义（P>0.05）。干预后，SBC 组的上述评分均高于对照组，差异有统计学意义（P<0.05）。干预后，SBC 组的创面渗液评分低于对照组，差异有统计学意义（P<0.05）。SBC 护理干预可有效提高糖尿病烫伤患者的 QoL 和自我效能，促进创面愈合，可推荐临床应用。
