Tian Luping, Weng Yuhua, Xu Aiqing, Chen Yuefang, Tang Juping
Nursing Department, Hangzhou Third People's Hospital, No. 38 Xihu Avenue, Shangcheng District, Hangzhou, Zhejiang, China.
Sci Rep. 2024 Dec 30;14(1):31997. doi: 10.1038/s41598-024-83647-2.
To examine the impact of an educational approach incorporating behavioral modification and the Health Belief Model on the adherence to skin moisturizing care, itch severity, self-efficacy, and quality of life among individuals diagnosed with psoriasis vulgaris. A study involving 108 psoriasis vulgaris patients (November 2022-October 2023) utilized random allocation to form experimental and control groups. The control group received standard care, including medication guidance, general health education, and basic nursing support. In contrast, the experimental group underwent an enhanced intervention that combined behavior modification techniques and education based on the Health Belief Model. This included biweekly educational sessions, personalized behavioral assessments, and self-monitoring tools like self-supervision cards, which were not provided to the control group. Assessments pre- and post-intervention measured itchiness, self-efficacy, and quality of life. Comparative analyses included pruritus, self-efficacy, adherence, and quality of life using various scales. The study aimed to evaluate the impact of combined interventions on these parameters in psoriasis patients. Following the intervention, both groups exhibited improvements in itching degree, itching frequency, and affected areas compared to pre-intervention levels, with the experimental group showing superior outcomes over the control group. GSES scores in both groups increased post-intervention, with the experimental group surpassing the control group. Both groups demonstrated enhanced scores post-intervention across various aspects, including forgetting to use medication, willingness to use medication, influencing factors, medication timing, frequency, and quality of life (assessed by DLQI). Furthermore, MORISKY scores for medication timing, frequency, and self-discontinuation decreased in both groups post-intervention, with the experimental group recording lower scores than the control group. DLQI scores for symptom feelings, daily life, leisure and recreation, work and study, interpersonal relationships, and treatment were reduced in both groups after the intervention, with the experimental group showing lower scores than the control group. Combining behavior modification and health belief model education effectively improves adherence to skincare, relieves itching in psoriasis patients, and enhances self-efficacy and overall quality of life.
为了研究一种结合行为改变和健康信念模型的教育方法对寻常型银屑病患者皮肤保湿护理依从性、瘙痒严重程度、自我效能感和生活质量的影响。一项涉及108例寻常型银屑病患者的研究（2022年11月至2023年10月）采用随机分配的方法形成实验组和对照组。对照组接受标准护理，包括用药指导、一般健康教育和基本护理支持。相比之下，实验组接受了强化干预，该干预结合了行为改变技术和基于健康信念模型的教育。这包括每两周一次的教育课程、个性化行为评估以及自我监督卡等自我监测工具，而对照组未提供这些工具。干预前后的评估测量了瘙痒、自我效能感和生活质量。比较分析使用各种量表对瘙痒、自我效能感、依从性和生活质量进行了评估。该研究旨在评估联合干预对银屑病患者这些参数的影响。干预后，与干预前水平相比，两组患者的瘙痒程度、瘙痒频率和受累面积均有所改善，实验组的结果优于对照组。两组干预后的一般自我效能感量表（GSES）得分均有所提高，实验组超过了对照组。两组在干预后的各个方面得分均有所提高，包括忘记用药、用药意愿、影响因素、用药时间、频率和生活质量（通过皮肤病生活质量指数（DLQI）评估）。此外，两组干预后用药时间、频率和自行停药的莫里isky评分均降低，实验组得分低于对照组。干预后两组的DLQI症状感受、日常生活、休闲娱乐、工作学习、人际关系和治疗得分均降低，实验组得分低于对照组。结合行为改变和健康信念模型教育可有效提高皮肤护理的依从性，缓解银屑病患者的瘙痒，并提高自我效能感和整体生活质量。
