自我决定理论下的护理干预在ERCP治疗患者中的应用  

Application of Nursing Intervention under Self-determination Theory in Patients Undergoing Endoscopic Retrograde Cholangiopancreatography Treatment

作　　者：海彬 王双凤[1] 肖钊[1] 程亭亭 Hai Bin;Wang Shuangfeng;Xiao Zhao(The First Affiliated Hospital of Zhengzhou University,Zhengzhou Henan 450052,China)

机构地区：[1]郑州大学第一附属医院,河南郑州450052

出　　处：《齐鲁护理杂志》2024年第9期1-4,共4页Journal of Qilu Nursing

摘　　要：目的:探讨自我决定理论(SDT)下的护理干预在经内镜下逆行胰胆管造影(ERCP)治疗患者中的应用效果。方法:选取2022年8月1日~2023年8月31日收治的179例ERCP治疗患者为研究对象,采用信封法随机分为对照组89例和研究组90例,对照组行常规护理,研究组在此基础上采用SDT下的护理干预;比较两组干预前后治疗依从性、心理状态[采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、自我效能[采用成年人健康自我管理能力测评量表(AHSMSRS)]、生活质量[采用胃肠道生活质量量表(GIQLI)]及护理满意度。结果:干预后,研究组依从率高于对照组(P<0.05);干预后,两组HAMA、HAMD评分均低于干预前(P<0.05),且研究组低于对照组(P<0.05);干预后,两组AHSMSRS、GIQLI评分均高于干预前(P<0.05),且研究组高于对照组(P<0.05);研究组护理满意度高于对照组(P<0.05)。结论:SDT下的护理干预在ERCP治疗患者中具有健康促进作用,可提高其治疗依从性、自我效能、生活质量及护理满意度,从而改善心理状态。Objective:To explore the application effect of nursing interventions under self-determination theory(SDT)in patients undergoing endoscopic retrograde cholangiopancreatography treatment.Methods:A total of 179 patients treated with endoscopic retrograde cholangiopancreatography from August 1,2022 to August 31,2023 were selected as the study subjects.They were randomly divided into control group(n=89)and study group(n=90)using the envelope method.The control group received routine care,while the study group received nursing interventions under SDT on this basis.The treatment compliance,psychological status[using Hamilton Anxiety Scale(HAMA)and Hamilton rating scale for depression(HAMD)],self-efficacy[using Adult Health Self-Management Ability Scale(AHSMSRS)],quality of life[using Gastrointestinal Quality of Life Index(GIQLI)],and nursing satisfaction were compared between two groups before and after intervention.Results:After intervention,the compliance rate of the study group was higher than that of the control group(P<0.05).After intervention,the HAMA and HAMD scores of both groups were lower than before intervention(P<0.05),and the study group was lower than the control group(P<0.05).After intervention,the AHSMSRS and GIQLI scores of both groups were higher than before intervention(P<0.05),and the study group was higher than the control group(P<0.05).The nursing satisfaction of the research group was higher than that of the control group(P<0.05).Conclusion:Nursing interventions under SDT have a health promoting effect in patients undergoing endoscopic retrograde cholangiopancreatography,which can improve their treatment compliance,psychological status,self-efficacy,quality of life,and nursing satisfaction.

关 键 词：自我决定理论 内镜下逆行胰胆管造影 自我管理 依从性 

分 类 号：R473.5[医药卫生—护理学]