智慧健康管理对结核病患者疾病认知心理状况及自我管理效能的影响  

Effect of intelligent health management on disease cognition,psychological status and the effectiveness of self-management in tuberculosis patients

作　　者：崔晓华[1] 兰云霞[1] 邵丽波 锁维蔓 孙艳芳 王赵杰[1] 陈瑛[1] Cui Xiaohua;Lan Yunxia;Shao Libo;Suo Weiman;Sun Yanfang;Wang Zhaojie;Chen Ying(Henan Provincial Chest Hospital,Zhengzhou 450003,Henan,China)

机构地区：[1]河南省胸科医院,河南郑州450003

出　　处：《临床心身疾病杂志》2024年第6期150-154,共5页Journal of Clinical Psychosomatic Diseases

基　　金：河南省医学科技攻关计划软科学项目(编号RKX202202018)。

摘　　要：目的探讨智慧健康管理对结核病患者疾病认知、心理状况及自我管理效能的影响。方法将300例结核病患者随机分成观察组和对照组,每组150例。对照组患者给予常规护理干预措施,观察组患者在对照组基础上给予智慧健康管理干预措施。比较两组患者疾病认知水平、用药依从性、心理状况[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、自我管理效能[一般自我效能量表(GSES)评分]及生活质量[简明健康状况评估量表(SF-36)评分]。结果干预后,两组患者疾病认知水平均较干预前提高,且观察组高于对照组(P<0.01);观察组患者用药总依从率高于对照组(P<0.01)。干预后,两组患者SAS、SDS评分均较干预前降低,且观察组均低于对照组(P<0.01);GSES评分均较干预前提高,且观察组高于对照组(P<0.01);两组患者SF-36各维度评分及总分均较干预前改善,且观察组优于对照组(P<0.01)。结论智慧健康管理干预措施应用于结核病患者,可提升其疾病认知水平、用药依从性,改善心理状况,提高自我管理效能及生活质量,值得临床推广。Objective To explore the effect of intelligent health management(IHM)on disease cognition,psychological status and the effectiveness of self-management in tuberculosis patients.Methods A total of 300 tuberculosis patients were randomly divided into observation and control group,with 150 ones in each.Controls received routine nursing intervention measures and observation group was plus the IHM on the basis of controls.The cognitive level of illness,medication compliance,psychological status(Self-rating Anxiety Scale[SAS]and Self-rating Depression Scale[SDS]score),the effectiveness of self-management efficacy(General Self-efficacy Scale[GSES]score)and quality of life(36-Item Short Form Health Survey[SF-36]score)were compared between two groups.Results After intervention,the cognitive levels of illness in both groups elevated compared with pre-intervention and that was higher in observation than control group(P<0.01).The total medication compliance rate was higher in observation than control group(P<0.01).After intervention,scores on the SAS and SDS in both groups lowered compared with pre-intervention and those were lower in observation than control group(P<0.01),scores on the GSES in both groups elevated compared with pre-intervention and that was higher in observation than control group(P<0.01).Each dimension and the total scores of the SF-36 in both groups improved compared with pre-intervention and observation group was better than cont rols(P<0.01).Conclusion The IHM can promote cognitive levels of illness and medication compl iance i n tuberculosis pat ient s,improve psychological status,self-management ability and quality of life,and deserves clinical promotion.

关 键 词：结核病 智慧健康管理 疾病认知 心理 自我管理效能 

分 类 号：R52[医药卫生—内科学] R473[医药卫生—临床医学]