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Original Research

Open Access

Analysis of the effect of health education model based on BCW theory in patients with acute retinal necrosis

  • Ruru Liu1,†
  • Yue’e Ye2,†
  • Weidan Xia3
  • Yinghui Shi4
  • Huarong Chen4
  • Xiaoqiong Huang5
  • Yanyan Chen4,*,
  • Yuqin Wang1,*,

1Department of Uveitis, National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, 325027 Wenzhou, Zhejiang, China

2Department of Out-patient, National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, 325027 Wenzhou, Zhejiang, China

3Department of 6th Patient Ward, National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, 325027 Wenzhou, Zhejiang, China

4Department of Nursing, National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, 325027 Wenzhou, Zhejiang, China

5Quality Control Office, National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, 325027 Wenzhou, Zhejiang, China

DOI: 10.22514/sv.2023.033 Vol.19,Issue 3,May 2023 pp.195-201

Submitted: 09 March 2023 Accepted: 28 April 2023

Published: 08 May 2023

*Corresponding Author(s): Yanyan Chen E-mail:
*Corresponding Author(s): Yuqin Wang E-mail:

† These authors contributed equally.


To explore the effect of the health education model based on the behavior change wheel (BCW) theory in patients with acute retinal necrosis (ARN). 78 patients diagnosed with ARN were randomly divided into the control group (n = 39) and observation group (n = 39). The control group received standard eye care, whereas the observation group was given the BCW theory-based health education model based on standard care. The two groups were compared on the uncertainty of the disease, anxiety and depression levels, treatment compliance, disease cognition, and nursing satisfaction. After the intervention, the scores of various dimensions of uncertainty in illness and the total score, the Self-Rating Anxiety Scale/Self-Rating Depression Scale (SAS/SDS) scores, treatment compliance, the degree of disease cognition, and nursing satisfaction in the observation group were higher than those in the control group, and the differences were statistically significant. The application of the health education model based on BCW theory in ARN can reduce the disease uncertainty and the level of anxiety and depression, thus improving the treatment compliance, disease cognition, and satisfaction of patients, which is worthy of widespread use in clinical practice.


Behavior change wheel theory; Acute retinal necrosis; Health education

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Ruru Liu,Yue’e Ye,Weidan Xia,Yinghui Shi,Huarong Chen,Xiaoqiong Huang,Yanyan Chen,Yuqin Wang. Analysis of the effect of health education model based on BCW theory in patients with acute retinal necrosis. Signa Vitae. 2023. 19(3);195-201.


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