基于情绪安全感理论的护理干预对乙型病毒性肝炎患者负性情绪、应对方式及自我效能感的影响  

Effects of Nursing Intervention Based on Emotional Security Theory on Negative Emotions,Coping Style and Self-efficacy in Patients with Viral Hepatitis B

作　　者：陈素绸 林莉莉[1] CHEN Suchou;LIN Lili(Department of Dermatology,the First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院感科科,福建厦门361000

出　　处：《中国医药指南》2023年第10期133-136,共4页Guide of China Medicine

摘　　要：目的探究基于情绪安全感理论的护理干预对乙型病毒性肝炎患者负性情绪、应对方式及自我效能感的影响。方法选取我院2020年10月至2022年10月乙型病毒性肝炎患者158例,根据入院顺序不同分为对照组、观察组,各79例。对照组给予常规护理干预,观察组在此基础上给予情绪安全感理论指导下的护理干预。对比两组干预前后负性情绪[抑郁(SDS)评分、焦虑(SAS)评分]、应对方式问卷(SCSQ)、自我效能感量表(GSES)、健康促进生活方式问卷(HPLP)及慢性肝病问卷(CLDQ)评分。结果干预后观察组SAS、SDS评分低于对照组,GSES、CLDQ、HPLP评分高于对照组(P<0.05);干预后与对照组相比,观察组积极应对评分较高,消极应对评分较低(P<0.05)。结论基于情绪安全感理论的护理干预可改善乙型病毒性肝炎患者焦虑、抑郁等不良情绪,提高自我效能感,促进其养成健康生活方式,有助于患者以积极的心态应对生活,改善生活质量。Objective To explore the effects of nursing intervention based on emotional security theory on negative emotions,coping styles and selfefficacy of patients with viral hepatitis B.Methods A total of 158 patients with viral hepatitis B in our hospital from October 2020 to October 2022 were selected and divided into control group and observation group according to different admission sequence,79 cases in each group.The control group was given routine nursing intervention,and the observation group was given nursing intervention under the guidance of emotional security theory on this basis.The scores of negative emotions[Self-rating Depression Scale(SDS),Self-rating Anxiety Scale(SAS)],Coping Style Questionnaire(SCSQ),Self-Efficacy Scale(GSES),Health Promoting Lifestyle Profile(HPLP)and Chronic Liver Disease Questionnaire(CLDQ)before and after the intervention were compared between the two groups.Results After intervention,the SAS and SDS scores in the observation group were lower than those in the control group,while the GSES,CLDQ and HPLP scores were higher than those in the control group(P<0.05).After intervention,compared with the control group,the observation group had higher positive coping score and lower negative coping score(P<0.05).Conclusion Nursing intervention based on emotional security theory can improve anxiety,depression and other bad mood,improve self-efficacy,promote the development of healthy lifestyle,help patients with viral hepatitis B with a positive attitude to cope with life,improve the quality of life.

关 键 词：情绪安全感理论 乙型病毒性肝炎 自我效能 负性情绪 

分 类 号：R512.62[医药卫生—内科学]