基于SMART原则的护理干预在慢性荨麻疹患者中的应用  

Effects of nursing interventions based on SMART principle in patients with chronic urticaria

作　　者：刘丹 冯莞舒 王兆惠 冯柳 田蓓蓓 赵丽飒 Liu Dan;Feng Wanshu;Wang Zhaohui;Feng Liu;Tian Beibei;Zhao Lisa(Allergy Department,Henan Provincial People's Hospital,Henan Provincial Key Laboratory of Nursing Medicine,Zhengzhou University People's Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院过敏反应科,河南省护理医学重点实验室,郑州大学人民医院,郑州450003

出　　处：《中华现代护理杂志》2023年第19期2616-2620,共5页Chinese Journal of Modern Nursing

摘　　要：目的 探究基于 SMART(specific,measurable,attainable,relevant and time-based)原则的护理干预在慢性荨麻疹患者中的应用效果.方法 采用便利抽样法,选取2021年1月-2022年1月河南省人民医院过敏反应科收治的128例慢性荨麻疹患者为研究对象,采用随机数字表法将患者分为对照组和观察组,各64例.对照组实施常规护理干预,观察组在对照组基础上实施基于SMART原则的护理干预,连续干预3个月,分别于干预前、干预后3个月采用成年人健康自我管理能力测评量表、生活事件量表和特质应对方式问卷对患者进行测量,并评估短期疗效.结果 观察组短期疗效总有效率为82.81%(53/64),对照组为65.63%(42/64);观察组的复发间隔时间为(30.29±7.35)d,对照组为(21.63±7.46)d;差异均有统计学意义(P<0.05).干预后,观察组成年人健康自我管理能力测评量表中自我管理行为、自我管理认知、自我管理环境各维度评分和总分均高于对照组,差异均有统计学意义(P<0.05).干预后,观察组生活事件量表中的正性事件刺激量评分、特质应对方式问卷中积极应对评分均高于对照组,负性事件刺激量评分、消极应对评分均低于对照组,差异均有统计学意义(P<0.05).结论 基于SMART原则的护理干预能有效提高慢性荨麻疹治疗效果与患者的自我管理能力,改善其生理社会应激水平与应对方式.Objective To explore the effects of nursing interventions based on SMART(specific,measurable,attainable,relevant,and time-based)principle in patients with chronic urticaria.Methods From January 2021 to January 2022,convenience sampling was used to select 128 patients with chronic urticaria admitted to the allergy department of Henan Provincial People's Hospital as the study subject.The patients were divided into control group and observation group using a random number table method,with 64 cases in each group.The control group received routine nursing,while the observation group received nursing interventions based on SMART principle for three months.The Rating Scale of Health Self-management Skill for Adults,Life Event Scale,and Trait Coping Style Questionnaire were used to measure patients before and three months after intervention,and short-term efficacy was evaluated.Results The total short-term curative effective rate of the observation group was 82.81%(53/64),while the control group was 65.63%(42/64);the recurrent interval time in the observation group was(30.29±7.35)days,while in the control group it was(21.63±7.46)days;and the differences were statistically significant(P<0.05).After intervention,the scores of the self-management behavior,self-management cognition,self-management environment,and the total score of Rating Scale of Health Self-management Skill for Adults in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of positive event stimulus in Life Event Scale and positive coping in Trait Coping Style Questionnaire in the observation group were higher than those in the control group,while the scores of negative event stimulus and negative coping were lower than those in the control group,with statistically significant differences(P<0.05).Conclusions Nursing interventions based on the SMART principle can effectively improve the short-term curative efficacy and the self-management ability of pati

关 键 词：慢性荨麻疹 护理干预 SMART原则 生活事件 特质应对方式 

分 类 号：R473.75[医药卫生—护理学]