基于自我效能理论指导下的护理干预在乙型肝炎后肝硬化患者护理中的应用效果  

Effect of nursing intervention based on self-efficacy theory in the care of patients with post-hepatitis B cirrhosis

作　　者：王卫敏[1] 狄贯腾 郑辉[2] Wang Weimin;Di Guanteng;Zheng Hui(Department of Public Health, The Third Affiliated Hospital of Xinxiang Medical College, Xinxiang Henan 453000, China;Department of Laboratory, The Third Affiliated Hospital of Xinxiang Medical College, Xinxiang Henan 453000, China)

机构地区：[1]新乡医学院第三附属医院公共卫生科,河南新乡453000 [2]新乡医学院第三附属医院检验科,河南新乡453000

出　　处：《保健医学研究与实践》2022年第3期103-106,共4页Health Medicine Research and Practice

基　　金：国家十三五科技重大专项课题(2017ZX10203202-002)。

摘　　要：目的探讨基于自我效能理论指导下的护理干预在乙型肝炎后肝硬化患者护理中的应用效果。方法本研究选取2019年1月—2021年1月河南省某医院收治的83例乙型肝炎后肝硬化患者为研究对象。根据护理方法不同将其分为观察组(n=41)和对照组(n=42)。对照组患者采用常规护理,观察组患者在对照组的基础上给予基于自我效能理论指导下的护理干预。比较2组患者干预前及出院时自我效能测定量表(ESCA)、抑郁自评量表(SDS)、焦虑自评量表(SAS)和症状自评量表(SCL-90)评分。结果2组患者干预前ESCA中健康知识水平、自我护理技能、自我护理责任感及自我概念维度评分比较,差异无统计学意义(P>0.05)。出院时,2组患者ESCA中健康知识水平、自我护理技能、自我护理责任感及自我概念维度评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。2组患者干预前SDS和SAS评分比较,差异无统计学意义(P>0.05);出院时,2组患者SDS和SAS评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。2组患者干预前SCL-90中躯体能力、睡眠质量、人际关系、情感、强迫症状维度评分比较,差异无统计学意义(P>0.05);出院时,2组患者SCL-90中躯体能力、睡眠质量、人际关系、情感、强迫症状维度评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。结论基于自我效能理论指导下的护理干预可提升乙型肝炎后肝硬化患者自我效能护理能力、生活质量,同时改善负性情绪,值得临床推广应用。Objective To explore the effect of nursing intervention based on self-efficacy theory guidance in the care of patients with post-hepatitis B cirrhosis.Methods A total of 830 patients with post-hepatitis B cirrhosis admitted to a hospital in Henan from January 2019 to January 2021 were selected as study subjects.They were divided into an observation group(n=41)and a control group(n=42)according to different nursing methods.Patients in the control group were given conventional care,and patients in the observation group were given nursing interventions based on selfn-efficacy theory on the basis of the control group.The Exercise of Self-Care Agency(ESCA),Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS)and Symptom Checklist-90(SCL-90)scores were compared between the two groups before the intervention and at the time of discharge.Results There was no statistically significant difference in the scores of health knowledge level,self-care skills,self-care responsibility and self-concept dimensions in the ESCA before the intervention between the 2 groups of patients(P>0.05).At the time of discharge,the scores of health knowledge,self-care skills,self-care responsibility and self-concept dimensions in ESCA were higher in both groups than before the intervention and higher in the observation group than in the control group,with statistically significant differences(P<0.05).There was no statistically significant difference between the SDS and SAS scores of the 2 groups before the intervention(P>0.05);at discharge,the SDS and SAS scores of the 2 groups were lower than before the intervention and lower in the observation group than in the control group,with statistically significant differences(P<0.05).The differences were not statistically significant(P>0.05)when comparing the scores of physical ability,sleep quality,interpersonal relationship,emotion and obsessive-compulsive symptoms in SCL-90 before the intervention;at discharge,the scores of physical ability,sleep quality,interpersonal relationship,emotion

关 键 词：自我效能理论护理 乙型肝炎 肝硬化 

分 类 号：R473.5[医药卫生—护理学]