Yang Juan, Xie Chuanyi, Nian Sujuan
Hemodialysis Center, Xixi Hospital, Hangzhou, Zhejiang Province, China.
Infection Department II, Xixi Hospital, Hangzhou, Zhejiang Province, China.
Medicine (Baltimore). 2025 Aug 8;104(32):e43572. doi: 10.1097/MD.0000000000043572.
This study observes the application of behavior change wheel (BCW) theory in the nursing of patients with cirrhosis, aiming to improve the overall benefit level of patients. A total of 50 patients with cirrhosis who received routine nursing from January 2021 to June 2022 were included in the routine group, and 50 patients with cirrhosis who received a nursing mode based on BCW theory from July 2022 to December 2023 were included in the BCW group. Two groups were compared in health literacy [Health Literacy Management Scale (HeLMS)], self-acceptance level [Self-Acceptance Questionnaire (SAQ)], self-care ability [Exercise of Self-care Agency (ESCA)], coping style [Medical Coping Modes Questionnaire (MCMQ)], and compliance [Medication Adherence Report Scale-5 (MARS-5)]. Before the nursing, there was no significant difference in the HeLMS, SAQ, ESCA, MCMQ, and MARS-5 scores between the 2 groups (P > .05). After nursing, the HeLMS, SAQ, ESCA, MCMQ, and MARS-5 scores of both groups were higher than those before nursing, and the BCW group showed a significantly greater increase, with significant differences (P < .05). Health nursing plan based on BCW theory in patients with cirrhosis is beneficial to promote patients' health literacy, enhance self-care ability, and self-acceptance level, correct patients' negative coping styles, and strengthen medication compliance. It is recommended that it be vigorously carried out in the nursing measures for patients with cirrhosis.
本研究观察行为改变轮(BCW)理论在肝硬化患者护理中的应用,旨在提高患者的整体受益水平。选取2021年1月至2022年6月接受常规护理的50例肝硬化患者纳入常规组,选取2022年7月至2023年12月接受基于BCW理论护理模式的50例肝硬化患者纳入BCW组。比较两组患者的健康素养[健康素养管理量表(HeLMS)]、自我接纳水平[自我接纳问卷(SAQ)]、自我护理能力[自我护理能力测定量表(ESCA)]、应对方式[医学应对方式问卷(MCMQ)]及依从性[药物依从性报告量表-5(MARS-5)]。护理前,两组患者的HeLMS、SAQ、ESCA、MCMQ及MARS-5评分比较,差异无统计学意义(P>0.05)。护理后,两组患者的HeLMS、SAQ、ESCA、MCMQ及MARS-5评分均高于护理前,且BCW组升高幅度更显著,差异有统计学意义(P<0.05)。基于BCW理论的肝硬化患者健康护理方案有利于提升患者健康素养,增强自我护理能力及自我接纳水平,纠正患者消极应对方式,强化用药依从性。建议在肝硬化患者护理措施中大力推行。