基于循证的慢性疾病轨迹护理模式对慢性胃炎患者自我保健意识和生活方式的影响  

Impact of evidence-based chronic illness trajectory model on self-care awareness and lifestyle of patients with chronic gastritis

作　　者：李甫 李雅琳 张璐阳 LI Fu;LI Ya-lin;ZHANG Lu-yang(Department of Internal Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA)

机构地区：[1]郑州大学第一附属医院内科,河南郑州450000

出　　处：《海南医学》2024年第21期3157-3162,共6页Hainan Medical Journal

基　　金：中国康复医学会2023年科研课题计划(编号:KFKT-2023-031)。

摘　　要：目的探讨基于循证的慢性疾病轨迹护理模式对慢性胃炎患者自我保健意识、生活方式的影响。方法选取2022年3月至2023年5月郑州大学第一附属医院收治的162例慢性胃炎患者作为研究对象,按随机数表法分为对照组和观察组各81例。对照组患者给予常规护理干预,观察组患者在常规护理的基础上给予基于循证的慢性疾病轨迹护理模式,两组患者均连续干预3个月。比较两组患者干预前后的自我保健意识[院内自拟“自我保健意识量表”]、情绪状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自我管理行为[慢性病自我管理量表(CDSMS)]及生活方式[院内自制"生活方式调查问卷"]评分及护理有效率。结果干预后观察组患者的自我保健意识量表评分为(93.22±2.41)分,明显高于对照组的(81.14±5.02)分,SAS、SDS评分分别为(43.28±7.55)分、(41.32±5.11)分,明显低于对照组的(50.14±9.33)分、(51.47±6.28)分,差异均有统计学意义(P<0.05);干预后观察组患者CDSMS量表中的运动锻炼、认知症状管理、与医生沟通评分及总分分别为(20.75±1.12)分、(27.82±1.02)分、(12.06±1.17)分、(60.63±3.17)分,明显高于对照组的(15.67±2.03)分、(22.29±2.36)分、(8.38±2.14)分、(46.34±4.29)分,差异均有统计学意义(P<0.05);观察组患者的生活方式优良率、总护理有效率分别为88.89%、93.83%,明显高于对照组的67.90%、82.72%,差异有统计学意义(P<0.05)。结论基于循证的慢性疾病轨迹护理模式可增强慢性胃炎患者自我保健意识,提升患者自我管理能力,改善患者生活方式、负性情绪,提升护理效率。Objective To explore the impact of evidence-based chronic illness trajectory model on the self-care awareness and lifestyle of patients with chronic gastritis.Methods A total of 162 patients with chronic gastritis who were treated at the First Affiliated Hospital of Zhengzhou University from March 2022 to May 2023 were selected and randomly divided into a control group and an observation group by random number table method,with 81 cases in each group.Patients in the control group received routine nursing interventions,while patients in the observation group received evidence-based chronic illness trajectory model in addition to routine nursing.Both groups were continuously intervened for 3 months.The self-care awareness(self-made"self-care awareness scale"in the hospital),emotional state(Self-rating Anxiety Scale[SAS],Self-rating Depression Scale[SDS]),self-management behavior(Chronic Disease Self-management Scale[CDSMS]),lifestyle scores(self-made"lifestyle questionnaire"in the hospital),and nursing efficiency were compared between the two groups before and after intervention.Results After intervention,the self-care awareness scale score of the observation group was(93.22±2.41)points,which was significantly higher than(81.14±5.02)points in the control group;SAS and SDS scores were(43.28±7.55)points and(41.32±5.11)points,respectively,which were significantly lower than(50.14±9.33)points and(51.47±6.28)points in the control group(P<0.05).After intervention,the scores of exercise,cognitive symptom management,communication with doctors in the CDSMS scale,and total score in the observation group were(20.75±1.12)points,(27.82±1.02)points,(12.06±1.17)points,and(60.63±3.17)points,respectively,which were significantly higher than(15.67±2.03)points,(22.29±2.36)points,(8.38±2.14)points,and(46.34±4.29)points in the control group(P<0.05).The rate of excellent and good lifestyle and total effective rate of nursing in the observation group were 88.89%and 93.83%,respectively,which were significantly higher than 67

关 键 词：慢性胃炎 循证 慢性疾病轨迹模式 自我保健意识 生活方式 

分 类 号：R473.5[医药卫生—护理学]