综合性护理对慢性乙肝患者应对方式以及自我护理能力的影响  

The Influence of Comprehensive Nursing on Coping Style and Self-nursing Ability of Chronic Hepatitis B Patients

作　　者：高莹 GAO Ying(Department of Internal Medicine,Liaoning Rongjun Hospital,Dandong 100085,China)

机构地区：[1]辽宁省荣军医院内科,辽宁丹东100085

出　　处：《中国医药指南》2023年第1期180-182,共3页Guide of China Medicine

摘　　要：目的 评价综合护理干预对慢性乙型肝炎(简称乙肝)患者疾病应对方式以及自我效能等方面的积极影响,以提高患者治疗配合程度,提升疾病治疗预后效果。方法 选择我院2018年8月至2019年8月收治治疗的慢性乙肝疾病患者94例,在对症支持治疗的基础上以随机数字表法分组护理,对照组与观察组各47例。对照组慢性乙肝患者采取常规护理,观察组慢性乙肝患者配合综合性护理干预模式。比较两组慢性乙肝患者的护理效果,包括面对、回避、放弃应对方式评分以及自我效能感评分、生活质量评分、护理满意度。参考医学应对问卷(Medical Coping Modes Questionnaire,MCMQ)、自我效能感量表(General Self-Efficacy Scale,GSES)、健康调查简表(The MOS 36-Item Short from Health Survey,SF-36)分别评估慢性乙肝患者的应对方式、自我护理能力、生活质量。结果 干预后两组患者面对、回避、放弃应对方式评分以及自我效能、生活质量评分比较干预前明显改善,且观察组指标评分明显优于对照组,P<0.05。另外,观察组护理满意度明显高于对照组(95.74%vs. 74.46%),P<0.05。结论 综合性护理干预辅助可以在提高患者自我效能、应对能力的基础上提高生活质量,满足患者护理需求。Objective To evaluate the positive influence of comprehensive nursing intervention on the disease coping style and self-efficacy of chronic hepatitis b patients, so as to improve the degree of patients’ treatment cooperation and improve the prognosis of disease treatment.Methods Select patients with chronic hepatitis B disease(n=94) who were admitted to our hospital from August 2018 to August 2019. Based on symptomatic and supportive treatment, random number table method was used for group care, with 47 cases each in the control group and the observation group. Patients in the control group with chronic hepatitis B were treated with routine care, and patients in the observation group with chronic hepatitis B were treated with a comprehensive nursing intervention model. The nursing effects of the two groups of chronic hepatitis B patients were compared, including the scores of facing, avoiding, and giving up coping styles, self-efficacy scores, quality of life scores, and nursing satisfaction. Refer to the Medical Coping Modes Questionnaire(MCMQ), the General Self-Efficacy Scale(GSES), and the health survey short form(The MOS 36-Item Short from Health Survey, SF-36) to evaluate the performance of chronic hepatitis B patients. Coping style, self-care ability,quality of life. Results after intervention, the scores of coping style, avoidance and abandonment, self-efficacy and quality of life were significantly improved, and the index scores of the observation group were significantly better than those of the control group(P<0.05). In addition, the nursing satisfaction of the observation group was 95.74% higher than that of the control group 74.46%, P<0.05. Conclusion Comprehensive nursing intervention can improve the quality of life on the basis of improving patients’ self-efficacy and coping ability, and meet patients’ nursing needs.

关 键 词：综合性护理 慢性乙肝 应对方式 自我护理能力 生活质量 

分 类 号：R473.5[医药卫生—护理学] R512.62[医药卫生—临床医学]