Research on the Impact of Health Education Nursing Based on the Transtheoretical Model of Behavior Change on Self-Efficacy in Osteoporosis Patients with Low Bone Mass

Fenglai Hu

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¹ Beijing Aerospace General Hospital, Beijing 100076, China,

JCNR 2025 , 9(11), 395–401; https://doi.org/10.26689/jcnr.v9i11.13051

© 2025 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

Abstract

Objective: To investigate the impact of health education nursing based on the Transtheoretical Model of Behavior Change on self-efficacy in osteoporosis patients with low bone mass. Methods: A total of 91 osteoporosis patients with low bone mass admitted to our hospital from June 2000 to the end of June 2023 were selected and randomly divided into an observation group and a control group using the envelope method, with 46 and 45 cases in each group, respectively. The control group received routine nursing care, while the observation group received health education nursing based on the Transtheoretical Model of Behavior Change. Bone mineral density (lumbar spine L1–L4, femoral neck), disease awareness (Osteoporosis Knowledge Test Questionnaire, OKT-Q), and self-efficacy (Adult Health Self-Management Skills Rating Scale, AHSMSRS) were compared between the two groups. Results: After the intervention, bone mineral density levels, disease awareness levels, and self-efficacy levels significantly increased in both groups, with the observation group showing greater improvements in all indicators compared to the control group (p < 0.05). Conclusion: Interventions based on the Transtheoretical Model of Behavior Change effectively enhance patient self-efficacy and bone health by precisely matching behavioral stages, strengthening social support, and regulating neurobehavioral factors.

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