基于行为目标达成度理念的护理对中重度睑板腺功能障碍患者心境状态、自护能力的影响  

Effect of Nursing Based on Behavioral Goal Achievement Concept on Mood State and Self-care Ability of Patients with Moderate and Severe Meibomian Gland Dysfunction

作　　者：胡修洁 杨雪梅 万美萍[1] HU Xiujie;YANG Xuemei;WAN Meiping(Qianjiang City Central Hospital,Hubei Province,Qianjiang 433100,China)

机构地区：[1]湖北省潜江市中心医院,湖北潜江433100

出　　处：《中国医学创新》2023年第19期101-106,共6页Medical Innovation of China

摘　　要：目的:探讨基于行为目标达成度理念的护理对中重度睑板腺功能障碍(MGD)患者心境状态、自护能力的影响。方法:纳入潜江市中心医院眼科门诊2020年8月—2022年8月收治的中重度MGD患者84例,按随机数字表法分成研究组与常规组,各42例。常规组实施常规护理,研究组采用基于行为目标达成度理念的护理。比较两组干预前后睑板腺的排出能力、缺失程度、分泌物性状评分。干预前后采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估患者的心境状态,经自我护理能力量表(ESCA)测定自护能力,并评估患者满意度。结果:两组干预后睑板腺排出能力、缺失程度、分泌物性状评分均低于干预前,且研究组均低于常规组,差异均有统计学意义(P<0.05)。两组干预后自我概念、健康知识水平、自护技能、自我责任感评分及总分均高于干预前,且研究组均高于常规组,差异均有统计学意义(P<0.05)。两组干预后SAS、SDS评分均低于干预前,且研究组均低于常规组,差异均有统计学意义(P<0.05)。研究组患者满意度(95.24%)高于常规组(80.95%),差异有统计学意义(P<0.05)。结论:基于行为目标达成度理念的护理能进一步改善中重度MGD患者的睑板腺功能,纠正不良心境状态,提升自护能力与满意度。Objective:To explore the effect of nursing based on behavioral goal achievement concept on mood state and self-care ability of patients with moderate and severe meibomian gland dysfunction(MGD).Method:A total of 84 patients with moderate and severe MGD admitted to the ophthalmology clinic of Qianjiang City Central Hospital from August 2020 to August 2022 were were enrolled and divided into study group and routine group according to random number table method,with 42 cases in each group.The routine group implemented routine nursing,and the study group adopted the nursing based on behavioral goal achievement concept.The excretion capacity,deletion degree and secretion trait score of meibomian gland before and after intervention were compared between the two groups.Before and after intervention,the mood state of the patients was assessed by self-rating anxiety scale(SAS)and self-rating depression scale(SDS),self-care ability was measured by exercise of self-care agency scale(ESCA),and patient satisfaction was assessed.Result:After intervention,the scores of excretion capacity,deletion degree and secretion trait in both groups were lower than before intervention,and those in the study group were lower than those in the routine group,the differences were statistically significant(P<0.05).After intervention,the self-concept,health knowledge level,self-care skills,self-responsibility scores and total scores in both groups were higher than before intervention,and those in the study group were higher than those in the routine group,the differences were statistically significant(P<0.05).After intervention,the scores of SAS and SDS in both groups were lower than before intervention,and those in the study group were lower than those in the routine group,the differences were statistically significant(P<0.05).The satisfaction of patients in the study group(95.24%)was higher than that in the routine group(80.95%),the difference was statistically significant(P<0.05).Conclusion:Nursing based on behavioral goal achievement concept

关 键 词：睑板腺功能障碍 行为目标达成度理念 心境状态 自护能力 满意度 

分 类 号：R473.77[医药卫生—护理学]