Application of health education based on gain and loss message framework in patients with high-risk diabetic foot
10.3761/j.issn.0254-1769.2025.11.009
- VernacularTitle:基于收益与损失信息框架的健康教育在糖尿病高危足患者中的应用研究
- Author:
Yusheng XIE
1
;
Rongrong HUANG
;
Zhaoqing LIU
;
Qiansha WANG
;
Zhuping WANG
;
Yue MING
;
Yan DU
;
Wei ZHANG
Author Information
1. 550025 贵阳市 贵州医科大学护理学院
- Publication Type:Journal Article
- Keywords:
Message Framing;
Diabetic Foot;
Pre-Hospital Delay;
Self-Management;
Nursing
- From:
Chinese Journal of Nursing
2025;60(11):1336-1343
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effect of health education based on gain and loss message framing on the treatment behavior intention and self-management of patients with high-risk diabetic foot.Methods From July to September 2024,convenience sampling was used to select patients with high-risk diabetic foot who were hospitalized in the endocrinology department of a tertiary general hospital in Guiyang as the study subjects.They were divided into 3 groups according to the admission time,with 30 patients in each group.The experimental group adopted health education based on gain message framing or framing loss message,while in the control group,health education was provided in a conventional manner.Before and after intervention,the differences of intervention effects among the 3 groups were compared by using diabetic foot pre-hospital delay intention questionnaire,diabetic foot care knowledge questionnaire and Chinese version of Nottingham foot care assessment scale(CNAFF).Results Ultimately,29 cases in the gain framing group,29 cases in the loss framing group,and 29 cases in the control group completed the study.After intervention,the score of pre-hospital delay intention questionnaire of diabetic foot in the gain framing group was(21.48±4.32),and it was(24.31±2.49)in the loss framing group,and(17.76±5.03)in the control group.The difference among the 3 groups was statistically significant(F=18.725,P＜0.001);the loss framing group was superior to the gain framing group(P=0.01)and the control group(P＜0.001).After the intervention,the score of the CNAFF in the gain framing group was(55.83±3.06),and it was(59.14±2.90)in the loss framing group,and(48.66±2.58)in the control group.The difference between the 3 groups was statistically significant(F=102.245,P＜0.001).The loss framing group was superior to the gain framing group and the control group(all P＜0.001).Conclusion Health education based on the loss message framing is more conducive to improving patients' intention to delay diabetic foot visits,leading to good foot care behaviors,and may provide an effective means of pre-hospital prevention and control of diabetic foot.
