计划行为理论在肾移植术后患者心理体验及服药依从性中的应用研究  

The application of planned behavior theory in the psychological experience and compliance of patients after kidney transplantation

作　　者：聂雪梅[1] 聂冬梅[1] 黄伟[1] Nie Xuemei;Nie Dongmei;Huang Wei(Department of Urology,First Affiliated Hospital of Harbin Medical University,Harbin 150000,Heilongjiang,China.)

机构地区：[1]哈尔滨医科大学附属第一医院泌尿外科,黑龙江哈尔滨150000

出　　处：《实用器官移植电子杂志》2020年第3期203-206,共4页Practical Journal of Organ Transplantation(Electronic Version)

基　　金：国家临床重点专科建设项目经费资助(2012-649)。

摘　　要：目的探讨计划行为理论对肾移植术后患者心理体验及服药依从性的影响。方法纳入本院2017年3月-2019年3月收治的肾移植手术患者50例分为对照组和观察组,对照组25例患者采纳传统护理,观察组25例患者采纳计划行为理论干预,对比两组的焦虑自评量表(self-rating anxiety scale,SAS)评分、服药依从性以及并发症发生情况。结果观察组护理3 d后SAS评分明显比对照组低,观察组服药依从性(96.00%)明显比对照组(68.00%)高,观察组并发症发生率(4.00%)明显比对照组(28.00%)低,差异具有统计学意义(均P <0.05)。结论计划行为理论应用于肾移植患者术后护理中,可有效减轻患者心理焦虑情绪,提高服药依从性,降低并发症发生率,安全有效,值得借鉴。Objective To analyze the influence of planned behavior theory on psychological experience and medication compliance in patients after renal transplantation. Methods Fifty cases of kidney transplant patients admitted to our hospital from March 2017 to March 2019 were divided into a control group and an observation group. 25 patients in the control group received traditional nursing, and 25 patients are listed in the observation group. The planned behavioral theory intervention was adopted to compare the self-rating anxiety scale(SAS) scores, medication compliance, and complications. Results The SAS score was significantly lower in the observation group than in the control group after 3 days of nursing. The medication compliance(96.00%) in the observation group was significantly higher than that in the control group(68.00%). The incidence of complications in the observation group(4.00%)was significantly lower than that in the control group(28.00%), differences were statistically significant(P < 0.05). Conclusion The theory of planned behavior can be applied to postoperative nursing of renal transplant patients,it is safe and effective to alleviate patients’ psychological anxiety, improve medication compliance and reduce the incidence of complications.

关 键 词：计划行为理论 肾移植 心理体验 服药依从性 并发症 

分 类 号：R473.6[医药卫生—护理学]