Abstract:

Objective Action research methodology was used in a constructed self-management program for diabetic foot amputees to continuously improve the program and ensure the smooth implementation of the program. Methods Using the action research method，from February to June，2023，the self-management program constructed by the author was continuously revised and improved through the cyclic process of “planning-action-observation-reflection” for patients with diabetic foot amputation. Results After 2 rounds of action research，the action research refined the delivery of the program and the timing of the intervention，and the level of patient self-management behaviors increased significantly（P<0.05）. Conclusion Using the action research method，the researchers conducted a comprehensive analysis of the problems that existed in the process of patients’ behavioral health interventions，and adjusted the program through feedback from the patients’ hospitalization period，transition period，and home period，to ensure that the corresponding indexes at each stage could basically satisfy the patients’ self-management needs，and to improve the smooth implementation of the self-management program for patients with diabetic foot amputation.

Key words: Diabetic Foot, Amputation, Action Research, Semi-Structured Interviews, Self-Management, Nursing Care

摘要：

目的 将行动研究法用于前期构建的糖尿病足截肢患者自我管理方案中，不断完善方案，确保方案的顺利实施。方法 采用行动研究法，于2023年2月—6月选取北京市某三级甲等综合医院烧伤整形医学部住院的糖尿病足截肢患者为研究对象，通过“计划-行动-观察-反思”的循环过程，不断修订和完善前期构建的糖尿病足截肢患者自我管理方案。结果 经过2轮行动研究，完善了糖尿病足截肢患者自我管理方案的施行方式和干预时机，患者自我管理行为水平得到提高（P<0.001）。结论 运用行动研究法，研究人员针对糖尿病足截肢患者行为健康干预过程中存在的问题进行综合分析，通过对患者住院期、过渡期和居家期的反馈进行方案调整，确保每个阶段的对应指标能够基本满足患者自我管理需求，促进了糖尿病足截肢患者自我管理方案的顺利实施。

关键词: 糖尿病足, 截肢, 行动研究, 半结构访谈, 自我管理, 护理