基于BCW理论结合干预图的糖尿病患者足部自我管理干预方案的构建

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[中图分类号]R587.1 [文献标识码]A [文章编号]1672-4062（2026）03（a）-0011-05

Construction of Foot Self-management Intervention Scheme for Diabetic PatientsBasedonBCW Theoryand InterventionDiagram

ZHOULi，LITao，WUan

Departmentof Emergency Internal Medicine，Guizhou Provincial People's Hospital， Guyang 550o1，Guizhou， China [Abstract] Objective To construct afoot self-management intervention program fordiabetic patients to improve their footself-managementability.MethodsByintegrating thetheoryofbehaviorchange wheelandtheframeworkof interventionmap，a footself-management intervention program was developed through literatureanalysisand qualitative interviewswith7diabeticpatients.Results Thefinal planincluded three dimensions：motivationstimulation，ability trainingandenvironmental support，covering thecorecontents of healtheducation，behavior guidance，positivereinforcement，skilltrainingand environmental adjustment.Conclusion The footself-management intervention program constructedinthisstudy hasboththeoreticalbasisandpractical value，andcanbeusedasareferenceframework for clinical health education of diabetic foot.

[Keywords] Diabetes mellitus;Foot self-management;Behaviorchange wheel theory; Intervention diagram;Health education;Scheme construction

糖尿病足溃疡是糖尿病最常见的并发症之一，具有发病率高、致残致死率高、花费高等特点，已成为亟待解决的重大公共卫生问题之一[1-3]。（剩余7282字）