中国性科学2024,Vol.33Issue(3) :140-144.DOI:10.3969/j.issn.1672-1993.2024.03.033

行为改变轮理论在5-氨基酮戊酸光动力疗法治疗尖锐湿疣患者中的应用

Application of behavior change wheel theory in patients with condyloma acuminatum after 5-aminolevulinic acid photodynamic therapy

俞美琴 李健 郑正
中国性科学2024,Vol.33Issue(3) :140-144.DOI:10.3969/j.issn.1672-1993.2024.03.033

行为改变轮理论在5-氨基酮戊酸光动力疗法治疗尖锐湿疣患者中的应用

Application of behavior change wheel theory in patients with condyloma acuminatum after 5-aminolevulinic acid photodynamic therapy

俞美琴 1李健 2郑正1
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作者信息

  • 1. 安徽省宣城市中心医院门诊部皮肤科门诊,安徽宣城 242000
  • 2. 芜湖市第二人民医院皮肤科,安徽芜湖 241000
  • 折叠

摘要

目的 探讨行为改变轮(BCW)理论在5-氨基酮戊酸光动力疗法(ALA-PDT)治疗尖锐湿疣(CA)患者中的应用.方法 回顾性分析2021年10月至2023年5月89例在安徽省宣城市中心医院确诊CA的患者的临床资料,根据治疗方案的不同将患者分为观察组(n=47)和对照组(n=42).两组均接受ALA-PDT治疗,对照组采用常规CA护理方式,观察组在对照组基础上采用BCW理论干预,均干预1个月.在干预前后,比较两组焦虑自评量表(SAS)评分、皮肤病生活指数(DLQI)、健康行为量表(HPL)和自我健康管理能力量表(ESCA)评分.随访3个月,比较两组人乳头瘤病毒(HPV)感染根除率.结果 干预后,两组SAS评分均低于干预前,且观察组低于对照组(P<0.05);干预后,两组DLQI各维度评分均低于干预前,且观察组低于对照组(P<0.05);干预后,两组HPL、ESCA评分均高于干预前,且观察组高于对照组(P<0.05).随访3个月后,观察组HPV感染根除率为89.36%(42/47),对照组HPV感染根除率为83.33%(35/42),两组无显著差异(P>0.05).结论 采用BCW理论干预ALA-PDT 治疗的CA患者,可改善患者生活质量,提高其自我管理能力和促进健康行为.

Abstract

Objective To explore the application of behavior change wheel(BCW)theory in patients with condyloma acuminatum(CA)after 5-aminolevulinic acid photodynamic therapy(ALA-PDT).Methods A retrospective analysis was performed on the clinical data of 89 patients with CA confirmed in Xuancheng Central Hospital from October 2021 to May 2023.According to different treatment methods,patients were divided into observation group(n=47)and control group(n=42).After ALA-PDT,control group was given CA routine nursing,while observation group was given nursing with BCW theory on the basis of control group for 1 month,and all the patients were intervened for one month.Before and after intervention,scores of self-rating anxiety scale(SAS),dermatology life quality index(DLQI),health promotion lifestyle(HPL)and exercise of self-care agency scale(ESCA)between the two groups were compared.After 3 months of follow-up,eradication rate of human papilloma virus(HPV)infection was compared between the two groups.Results After intervention,SAS scores in both groups were decreased,which were lower in observation group than control group(P<0.05).After intervention,DLQI scores in both groups were decreased,which were lower in observation group than control group(P<0.05).After intervention,HPL and ESCA scores in both groups were increased,which were higher in observation group than control group(P<0.05).After 3 months of follow-up,the eradication rate of HPV infection in observation group was 89.36%(42/47)and the eradication rate of HPV infection in control group was 83.33%(35/42),with no significant difference between two groups(P>0.05).Conclusions BCW theory intervention in patients with CA after ALA-PDT can improve life quality,enhance self-management and promote health behaviors.

关键词

行为改变轮理论/5-氨基酮戊酸光动力疗法/尖锐湿疣

Key words

Behavior change wheel theory/5-aminolevulinic acid photodynamic therapy/Condyloma acuminatum

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基金项目

安徽省中医药传承创新科研项目(2022)(2022CCZC12)

出版年

2024
中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
参考文献量19
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