正念认知干预联合医护患一体化健康管理模式对子宫内膜异位症患者的影响  

Effects of Mindfulness-based Cognitive Intervention Combined with Doctor-nurse-patient Integrated Health Management Model on Patients with Endometriosis

作　　者：周敬[1] 周艳艳[1] 李晶晶[1] 李倩[1] 葛娇 周晓凤 宋丹丹 Zhou Jing;Zhou Yanyan;Li Jingjing(Henan Provincial Hospital of Traditional Chinese Medicine,Zhengzhou Henan 450000,China)

机构地区：[1]河南省中医院、河南中医药大学第二附属医院,河南郑州450000

出　　处：《齐鲁护理杂志》2024年第22期13-16,共4页Journal of Qilu Nursing

摘　　要：目的:探讨正念认知干预联合医护患一体化健康管理模式对子宫内膜异位症患者疾病认知程度及自我管理能力的影响。方法:采用前瞻性研究方法,选取2021年2月1日~2023年12月1日诊断并进行治疗的92例子宫内膜异位症患者作为研究对象,按照随机分组法分为研究组和对照组各46例,对照组采取医护患一体化健康管理模式进行治疗,研究组在此基础上联合正念认知干预,两组均干预4周;比较两组干预前后疾病认知情况[采用疾病认知问卷(ICQ)]、自我管理能力(采用自我管理行为量表)、自我效能、生活质量[采用生活质量综合评定问卷-74(GQOLI-74)]。结果:干预后,研究组ICQ中无助评分低于对照组(P<0.01),自我管理能力、自我效能中各维度评分、GQOLI-74及ICQ中接纳评分均高于对照组(P<0.05,P<0.01)。结论:通过正念认知干预联合医护患一体化健康管理模式,不仅提高了子宫内膜异位症患者对疾病的认知和自我管理能力,且改善了其生活质量。Objective:To explore the effects of mindfulness-based cognitive intervention combined with doctor-nurse-patient integrated health management model on disease cognition and self-management ability of patients with endometriosis.Methods:A total of 92 patients with endometriosis diagnosed and treated from February 1,2021 to December 1,2023 were selected as the research objects.According to the random grouping method,they were divided into the study group and the control group,with 46 cases in each group.The doctor-nurse-patient integrated health management model was adopted in the treatment of patients in the control group,and the mindfulness-based cognitive intervention was additionally implemented in the study group.Both groups were intervened for 4 weeks.The disease cognition using ICQ,self-management using self-management behavior scale,self-efficacy and quality of life using GQOLI-74 were compared between the two groups before and after intervention.Results:After the intervention,the helplessness score in ICQ in the study group was lower than that in the control group(P<0.01),and the scores of self-management,self-efficacy,GQOLI-74 and acceptance score in ICQ in the study group were higher than those in the control group(P<0.05,P<0.01).Conclusion:The combination of mindfulness-based cognitive intervention and doctor-nurse-patient integrated health management model can not only improve the disease cognition and self-management ability of patients with endometriosis,but significantly improve their quality of life.

关 键 词：正念认知干预 医护患一体化健康管理 子宫内膜异位症 自我效能 

分 类 号：R473.71[医药卫生—护理学]