CBB理念导向式管理应用于老年急性胰腺炎患者中的效果分析  

Effect analysis of CBB concept-oriented management in elderly patients with acute pancreatitis

作　　者：徐云芳[1] 钱湘云[1] 蒋文[1] XU Yunfang;QIAN Xiangyun;JIANG Wen(The Third People's Hospital of Nantong,Jiangsu,226006,China)

机构地区：[1]江苏省南通市第三人民医院老年科,226006

出　　处：《护理实践与研究》2022年第21期3237-3241,共5页Nursing Practice and Research

基　　金：南通市卫生健康委员会科研立项课题(编号:MB2019025)。

摘　　要：目的探讨认知-信念-行为(CBB)理念导向式管理应用于老年急性胰腺炎患者中的效果。方法选择2020年8月—2021年8月我院收治的老年急性胰腺炎患者122例,按照组间基线资料可比的原则分为对照组和观察组,各61例。对照组行常规干预,观察组在对照组基础上行CBB理念导向式管理干预。对比两组病情康复情况、干预前后一般自我效能感、自我管理能力、生活质量变化及并发症发生率。结果经CBB理念导向式管理干预后,观察组体温恢复时间、肛门排气时间、尿淀粉酶恢复正常时间、症状体征缓解时间及住院时间均短于对照组(P<0.05);观察组干预后一般自我效能感评分高于对照组(P<0.05);观察组干预后自我管理能力各维度评分均高于对照组(P<0.05);观察组干预后生活质量各维度评分均高于对照组(P<0.05);观察组总并发症发生率低于对照组(P<0.05)。结论CBB理念导向式管理应用于老年急性胰腺炎患者可促进病情恢复,改善一般自我效能感和自我管理能力,提高生活质量,降低并发症发生率。Objective To explore the effect of cognition-belief-behavior(CBB)concept-oriented management in elderly patients with acute pancreatitis.Methods A total of 122 elderly patients with acute pancreatitis admitted in the hospital from August 2020 to August 2021 were selected and divided into control group and observation group according to the principle of comparable baseline data between groups,with 61 cases in each group.The control group received routine intervention,the observation group received CBB concept-oriented management intervention on the basis of the control group.The condition of recovery general self-efficacy before and after intervention,self-management ability,quality of life and incidence of complications were compared between the two groups.Results After CBB concept-oriented management intervention,the temperature recovery time,anal exhaust time,urine amylase return to normal time,the remission time of symptoms and signs and hospital stay were shorter than the control group(P<0.05).After intervention,the general self-efficacy score of the observation group was higher than the control group(P<0.05);The scores of each dimension of self-management ability in the observation group after intervention were higher than the control group(P<0.05).Quality of life after intervention in observation group.The scores of all dimensions were higher than the control group(P<0.05).The total complication rate of the observation group was lower than the control group(P<0.05).Conclusion The application of CBB concept-oriented management in elderly patients with acute pancreatitis could promote the recovery of the disease,improve the general self-efficacy and self-management ability,improve the quality of life and reduce the incidence of complications.

关 键 词：CBB理念导向式管理 老年 急性胰腺炎 自我效能感 自我管理能力 生活质量 并发症 

分 类 号：R471[医药卫生—护理学]