基于行为转变理论的护理干预对亨特综合征患者自我效能及心理状态的影响  

Effects of nursing interventions based on behavior change theory on self-efficacy and psychological status of patients with Hunt syndrome

作　　者：王林香[1] 皮治兵[2] 傅莹[1] 陈小珍 杨蓓婷 WANG Linxiang;PI Zhibing;FU Ying;CHEN Xiaozhen;YANG Beiting(Department of Acupuncture and Physiotherapy Pain,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,Zheijiang,China;Department of Pain,the First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,Zheijiang,China)

机构地区：[1]温州医科大学附属第一医院针推理疗疼痛科,浙江温州325000 [2]温州医科大学附属第一医院疼痛科,浙江温州325000

出　　处：《中国现代医生》2023年第5期97-101,共5页China Modern Doctor

摘　　要：目的探讨基于行为转变理论的护理干预对亨特综合征患者自我效能及心理状态的影响。方法选取2019年1月至2021年12月温州医科大学附属第一医院疼痛科收治的80例亨特综合征患者,采用随机数字表法分为对照组(n=40)和观察组(n=40),对照组采用常规护理,观察组在对照组的基础上给予基于行为转变理论的护理干预,比较两组自我效能感、汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)评分、世界卫生组织生存质量测定量表(World Health Organization quality of life scale-brief form questionnaire,WHOQOL-BREF)评分及患者满意度。结果干预后,观察组自我效能感高于对照组,差异有统计学意义(P<0.05);观察组干预后HAMA评分、HAMD评分均低于对照组,WHOQOL-BREF各维度评分、总评分均高于对照组,差异有统计学意义(P<0.05),观察组患者满意度高于对照组,差异有统计学意义(P<0.05)。结论基于行为转变理论的护理干预可有效增强亨特综合征患者自我效能感,促进焦虑等负性情绪消退,同时提高生存质量,赢得患者认可与好评。Objective To explore the effects of a nursing intervention based on behavior change theory on self-efficacy and psychological status of patients with Hunt syndrome.Methods From January 2019 to December 2021,a total of 80patients with Hunt syndrome admitted to the First Affiliated Hospital of Wenzhou Medical University were selected and divided into the control group(n=40)and the observation group(n=40)using the random number table method.The control group was given conventional care and the observation group was given a nursing intervention based on behavior change theory on the basis of the control group,compared the self-efficacy,Hamilton anxiety scale(HAMA)scores,Hamilton depression scale(HAMD)scores,World Health Organization quality of life scale-brief form questionnaire(WHOQOL-BREF)scores and patient satisfaction between the two groups.Results After intervention,the self-efficacy of the observation group was higher than that of the routine group(P<0.05);the HAMA score and HAMD score of the observation group after intervention were lower than those of the routine group,and the scores of each dimension and total score of WHOQOL-BREF were higher than those of the routine group,and the differences were statistically significant(P<0.05).The patient satisfaction in the observation group was higher than that in the routine group,the difference was statistically significant(P<0.05).Conclusion Nursing intervention based on behavioral change theory can effectively enhance the self-efficacy of patients with Hunter syndrome,promote the regression of negative emotions such as anxiety,improve the quality of life,and win the recognition and praise of patients.

关 键 词：行为转变理论 护理干预 亨特综合征 自我效能 心理状态 

分 类 号：R752.12[医药卫生—皮肤病学与性病学]