Effect of health nursing plan based on behavior change wheel theory on health literacy of patients with cirrhosis

基于行为改变轮理论的健康护理计划对肝硬化患者健康素养的影响

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Abstract

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.

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