赋权激励教育联合自我管理训练对狼疮性肾炎患者心理韧性与疾病管理能力的影响  

Effect of empowerment incentive education combined with self-management training on psychological resilience and disease management ability in patients with lupus nephritis

作　　者：王丽琴 WANG Liqin(Department of Nephrology,Yingtan City People's Hospital,Jiangxi Province,Yingtan335000,China)

机构地区：[1]江西省鹰潭市人民医院肾内科,江西鹰潭335000

出　　处：《中国当代医药》2023年第23期171-174,共4页China Modern Medicine

基　　金：江西省鹰潭市科技计划项目(YKZ2019012)

摘　　要：目的探讨赋权激励教育干预联合自我管理训练对狼疮性肾炎(LN)患者心理韧性与疾病管理能力的影响。方法选取2020年1月至2022年10月鹰潭市人民医院收治的80例LN患者为研究对象,按随机数字表法分为对照组与观察组,各40例。对照组予以常规护理,观察组在此基础上给予赋权激励教育联合自我管理训练。比较两组患者的心理韧性、应对方式、服药依从性及疾病自我管理能力。结果干预后,两组心理弹性量表(CD-RISC)各维度评分均高于干预前,且观察组干预后的CD-RISC量表各维度评分均高于对照组,差异有统计学意义(P<0.05)。干预后,两组医学应对方式问卷(MCMQ)面对评分高于干预前,回避和屈服评分均低于干预前,且观察组面对评分高于对照组,回避和屈服评分低于对照组,差异有统计学意义(P<0.05)。干预后,两组患者的服药依从性评分高于干预前,且观察组干预后的服药依从性评分高于对照组,差异有统计学意义(P<0.05)。两组患者的慢性肾病自我管理研究测量表各维度评分均高于干预前,且观察组干预后的慢性肾病自我管理研究测量表各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论赋权激励教育联合自我管理训练对LN患者应用价值显著,可有效提高患者心理韧性,改善应对方式,提高患者服药依从性和疾病管理能力。Objective To explore the effect of empowerment incentive education intervention combined with self-management training on psychological resilience and disease management ability in patients with lupus nephritis(LN).Methods Eighty patients with LN admitted to Yingtan People's Hospital from January 2020 to October 2022 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 40 cases in each group.The control group was given routine nursing,and the observation group was given empowerment incentive education combined with self-management training.The psychological resilience,coping styles,medication compliance and disease self-management ability were compared between the two groups.Results After intervention,the scores of all dimensions of Connor-Davidson resilience scale(CD-RISC)in both groups were higher than before intervention,and the scores of all dimensions of CD-RISC scale in the observation group were higher than those in the control group after intervention,with statistical significance(P<0.05).After intervention,the facing score of medical coping modes questionnaire(MCMQ)face scores of the two groups were higher than before intervention,and the avoidance and submission scores were lower than before intervention,and the observation group's face scores were higher than the control group,and the avoidance and submission scores were lower than the control group,with statistical significance(P<0.05).After intervention,the score of medication compliance of the two groups was higher than that before intervention,and the score of medication compliance of the observation group was higher than that of the control group after intervention,with statistical significance(P<0.05).The scores of all dimensions of the chronic kidney disease self-management scale in both groups were higher than before intervention,and the scores of all dimensions of the chronic kidney disease self-management scale in the observation group were higher than those

关 键 词：狼疮性肾炎 赋权 激励教育 自我管理 心理韧性 

分 类 号：R593.24[医药卫生—内科学]