The influence of behavior change theory nursing mode on self-management behavior of knee osteoarthritispatients
行为转变理论护理模式对膝骨性关节炎患者自我管理行为的影响

摘要

目的 分析探讨行为转变理论护理模式对膝骨性关节炎患者自我管理行为的影响效果。方法 选 取我院 2020 年-2021 年接收治疗膝骨性关节炎患者 40 例为观察对象，随机将其分为观察组与对照组，其中 对照组采用常规护理模式，观察组采用行为转变理论护理模式，将两组护理前后自我管理能力、疼痛情况 以及膝关节功能改善情况进行比较。结果 护理前所有数据比较均差异较小，（P＞0.05），护理后观察组在 心理和社会适应、药物管理、饮食管理以及症状管理等自我管理评分指标结果均高于对照组，疼痛度低于 对照组，膝关节功能改善度优于对照组，数据对比差异有统计学意义（P<0.05）。结论 采用行为转变理论 护理模式可以有效改善膝骨性关节炎患者临床症状，提高自我管理行为，降低疼痛度，值得推广与应用于 临床护理中。

Abstract

Objective To analyze and explore the effect of behavior change theory nursing mode on the self-management behavior of patients with knee osteoarthritis.
Methods Forty patients with knee osteoarthritis who were treated in our hospital from 2020 to 2021 were selected as the observation objects. They were randomly divided into the observation group and the control group. The control group adopted the conventional nursing mode, and the observation group adopted the behavior change theory nursing mode. The self-management ability, pain and improvement of knee joint function before and after nursing were compared between the two groups.
Results There was little difference in all data before nursing (P>0.05). After nursing, the self-management scores of the observation group in terms of psychological and social adaptation, drug management, diet management and symptom management were higher than those of the control group. The degree of pain was lower than that of the control group, and the improvement of knee joint function was better than that of the control group. The difference was statistically significant (P<0.05).
Conclusion   The nursing model based on behavior change theory can effectively improve the clinical symptoms of patients with knee osteoarthritis, improve self-management behavior, and reduce pain. It is worth popularizing and applying in clinical nursing.