ApplicationEffectof Nursing Intervention Strategies Basedonthe Health Belief Model Combined with Therapeutic Communication inPatients with Acne Rosacea/YI Meng，YAN Xia，ZHAO Shiying.// Medical Innovation of China，2025，22（16）： 086-089

[Abstract]Objective： To explore the influence of nursing intervention strategies based on the health belief model combined with therapeutic communicationon the hope level，psychological state，qualityof lifeand skin lesion conditions of patients with acne rosacea.Method： Atotalof 8O patients with acne rosacea admited to Yichun People's Hospital from January to December 2O23 were selectedand divided into two groups according to therandom numbertable method， with 4O cases in each group.The control group was given traditional nursing intervention. The observation group was given nursing intervention strategies based on the health belief model combined with therapeuticcommunication.The compliance，hope level，psychological state，qualityof life，skin lesionconditions and satisfaction of the two groups were compared.Result：Before the intervention，there were no statistically significantdiferencesinthehopelevel，psychologicalstate，qualityoflifeandskinlesionconditionsbetweenthe two groups （ Pgt; 0.05）.After the intervention，the score of the Herth hope index （HHI） in the observation group was higher than that in the control group，whilethe scoresof theself-rating anxiety scale （SAS），self-rating depression scale （SDS），quality of life，and skin lesion condition were all lower than those in the control group （ P lt;0.05）. The total compliancerate and total satisfaction ofthe observation group were both higher than those ofthe control group （ P lt;0.05）.Conclusion： Nursing intervention strategies basedonthe health belief modelcombined with therapeutic communicationcan enhance the hopelevel，psychologicalstate，qualityoflifeand satisfactionof patients with acne rosacea， and improve their compliance and skin lesion conditions.

[Key Words] Nursing intervention strategies based on the health belief model Therapeutic communication Acne rosacea Hope level Skin lesion conditionsMental state

First-author'saddress：SkinBeautyDepartment，YichunPeople'sHospital，Yichun336ooo，China doi： 10.3969/j.issn.1674-4985.2025.16.021

玫瑰痤疮是常见皮肤疾病，是由血管舒张神经失调、毛囊感染所引起的炎性疾病[。玫瑰痤疮的症状主要为丘疹、结节、红斑、痤疮等，对人体健康的危害较轻。但是由于该病发病部位通常为面颊部，会对患者的面部美观造成不良影响，进而影响到患者的心理健康[2-3]。因此，需要采取措施进行干预，鼓励其积极接受治疗。治疗性沟通是一种以解决患者心理或生理健康问题为目的进行的针对性谈话治疗，可提高患者的治疗积极性[4-5]。基于健康信念模式主要是通过鼓励患者树立健康信念，来提高其治疗配合度[。本研究旨在探究上述两种模式联用的效果。

1资料与方法

1.1一般资料

选取2023年1—12月宜春市人民医院收治的80例玫瑰痤疮患者。纳入标准：（1）自愿参与本研究。（2）符合文献[7]《中国玫瑰痤疮诊疗指南（2021版）》中玫瑰痤疮的诊断标准。（3）近期未进行相关治疗。排除标准：（1）合并如荨麻疹等其他类型皮肤病。（2）有精神病史。（3）方言较重，无法沟通。（4）对本研究不认同。（5）非过敏性皮肤。（6）瘢痕体质。按照随机数字表法分为两组，各40例。本研究经医院医学伦理委员会批准通过；患者知情同意本研究。

1.2方法

对照组给予传统护理干预，具体如下：告知患者脸部用药注意事项并对其清洁面部的步骤进行指导。使用温柔的语言和患者沟通，了解患者的问题并解答。

观察组给予基于健康信念模式（HBM）的护理干预策略联合治疗性沟通，具体如下：（1）构建HBM沟通小组，小组成员含有1名护士长、4名护士。……