基于行为改变理论的远程指导结合聚焦解决模式对幽门螺杆菌感染性胃炎患者自我管理能力及疾病控制的影响  

Influences of remote guidance based on behavioral change theory combined with focused solution mode on self-management ability and disease control in patients with Helicobacter pylori-infected gastritis

作　　者：马虹 辛雅雅 赵平[2] MA Hong;XIN Yaya;ZHAO Ping(No.215 Hospital of Shaanxi Nuclear Industry,Xianyang 712000;the Second Affiliated Hospital of Xi'anJiaotong University,Xi'an 710004,China)

机构地区：[1]陕西省核工业二一五医院,陕西咸阳712000 [2]西安交通大学第二附属医院,陕西西安710004

出　　处：《临床医学研究与实践》2024年第6期136-139,共4页Clinical Research and Practice

基　　金：陕西省自然科学基础研究计划项目(No.2019JM-496)。

摘　　要：目的研究基于行为改变理论的远程指导结合聚焦解决模式对幽门螺杆菌(Hp)感染性胃炎患者自我管理能力及疾病控制的影响。方法选取2019年6月至2021年6月收治的486例Hp感染性胃炎患者为研究对象,以随机数字表法将其分为对照组与观察组,各243例。对照组采用聚焦解决模式,观察组在对照组基础上加施基于行为改变理论的远程指导。比较两组的干预效果。结果干预后,观察组的自我护理能力测定量表(ESCA)评分高于对照组(P<0.05)。干预后,观察组的医学应对方式问卷(MCMQ)中面对评分高于对照组,回避、屈服评分低于对照组(P<0.05)。观察组的Hp转阴率、治愈率均高于对照组(P<0.05)。干预后,观察组的胃泌素(GAS)、胃动素(MTL)水平高于对照组(P<0.05)。结论基于行为改变理论的远程指导结合聚焦解决模式不仅能够提高Hp感染性胃炎患者的自我管理能力,还能改变疾病应对方式,加强疾病控制,值得推广。Objective To study the influences of remote guidance based on behavior change theory combined with focused solution mode on self-management ability and disease control in patients with Helicobacter pylori(Hp)-infected gastritis.Methods A total of 486 patients with Hp-infected gastritis admitted from June 2019 to June 2021 were selected as the study objects and divided into control group and observation group by random number table method,with 243 cases in each group.The control group was given focused solution mode,and the observation group was given remote guidance based on behavior change theory on the basis of control group.The intervention effects of the two groups were compared.Results After intervention,the Exercise of Self-Care Agency Scale(ESCA)score of the observation group was higher than that of the control group(P<0.05).After intervention,the facing score of Medical Coping Modes Questionnaire(MCMQ)in the observation group was higher than that in the control group,while the avoidance and yielding scores were lower than those in the control group(P<0.05).The seroconversion rate of Hp and cure rate in the observation group were higher than those in the control group(P<0.05).After intervention,the gastrin(GAS)and motilin(MTL)levels in the observation group were higher than those in the control group(P<0.05).Conclusion The remote guidance based on behavior change theory combined with focused solution mode can not only improve the self-management ability of patients with Hp-infected gastritis,but also change disease coping style,and strengthen disease control,which is worth promoting.

关 键 词：基于行为改变理论的远程指导 聚焦解决模式 幽门螺杆菌感染性胃炎 自我管理能力 应对方式 

分 类 号：R473[医药卫生—护理学]