全程护理干预对重型肝炎患者应对方式的影响  

Influence of whole-process nursing intervention on coping style for patients with severe hepatitis

作　　者：钟丽梅[1] 黄素琴[1] 覃金艳 施小燕[1] 

机构地区：[1]右江民族医学院附属医院感染性疾病科,百色533000

出　　处：《右江医学》2014年第2期164-166,共3页Chinese Youjiang Medical Journal

基　　金：广西百色市科学研究与技术开发计划项目(百科计字[2012]1号)

摘　　要：目的探讨全程护理干预对重型肝炎患者应对方式的影响。方法给83例重型肝炎患者发放简易应对方式自评量表,对调查结果进行分析,在患者住院期间,针对原因给予系统性、规范化健康教育,出院后利用信息、电话等随访平台全程跟踪干预,2个月后再次发放该量表,比较干预前后应对方式情况。结果干预前患者积极应对维度平均分为(1.30±0.45)分、消极应对维度平均分为(1.82±0.48)分,分别与全国常模(1.78±0.52)分、(1.59±0.6)分进行比较,差异均有统计学意义(P<0.01)。干预后患者积极应对方式维度平均分明显提高(P<0.01),消极应对方式维度平均分明显降低(P<0.01)。结论对重型肝炎患者实施全程护理干预,能提高他们应对疾病的能力,主动调整不良心理,从而提高他们的生活质量。这种全程护理干预可作为重型肝炎患者护理工作的一种制度化、常规化的综合护理干预措施在临床上推广应用。Objective To explore the influence of whole-process nursing intervention on the coping style for patients with severe hepatitis.Methods 83 patients with severe hepatitis were investigated with Simplified Coping Style Ques-tionnaire（SCSQ）.Then, results of the investigation were analysed. Systematic and normative health education were provided to the patients according to the reasons during their stays in hospital.And after they discharged from hospi-tal, they got a whole-process follow-up visit by the ways of text information and telephone calls.Two months later they were investigated with the SCSQ again, and the results of coping style before and after the intervention were com-pared.Results Before intervention, the average score of the patients＇ positive coping dimension was （1.30 4±0.45 points） and the average score of their negative coping dimension was （1.82 ± 0.48 ponits）.Compared to those of na-tional norm scores（1.78 4-0.52 ponits and 1.59 4-0.6 ponits）, the above-mentioned average scores were significantly different（ P 〈0.01）.After the intervention, the average score of the patients＂ positive coping dimension significantly increased,while that of their negative coping dimension decreased obviously （ P 〈0. 01）.Conclusion Carrying out whole-process nursing intervention on patients with severe hepatitis can enhance their ability of dealing with disease and adust their unhealthy mentality, so as to improve their quality of life.Thus, it can be popularized and applied in clinic as an institutionalized and routinized nursing intervention for patients with severe hepatitis.

关 键 词：全程护理干预 重型肝炎 应对方式 效果 

分 类 号：R473.5[医药卫生—护理学]