目标设定理论指导的健康管理对慢性乙型肝炎患者疾病认知、抗病毒治疗依从性及自我效能的影响  

Effect of goal setting theory-guided health management on disease cognition, compliance with antiviral therapy and self-efficacy of patients with chronic hepatitis B

作　　者：陈桂芳 马黎黎 刘利[1] Chen Guifang;Ma Lili;Liu Li(Department of Hepatology,Anhui Provincial Hospital of Integrated Traditional Chinese and Western Medicine(the Third Affiliated Hospital of Anhui University of Chinese Medicine),Hefei 230031,China)

机构地区：[1]安徽省中西医结合医院(安徽中医药大学第三附属医院)肝病科,合肥230031

出　　处：《中国实用护理杂志》2025年第6期459-465,共7页Chinese Journal of Practical Nursing

摘　　要：目的探讨目标设定理论指导的健康管理对慢性乙型肝炎(CHB)患者疾病认知、抗病毒治疗依从性及自我效能的影响,为CHB患者临床护理方案的制订提供理论依据。方法采用类实验研究方法,便利抽样法选取2022年11月至2023年6月安徽省中西医结合医院(安徽中医药大学第三附属医院)收治的60例CHB患者为研究对象,采用信封法随机抽签分组将其分为对照组及观察组各30例,对照组给予常规健康管理,观察组给予目标设定理论指导的健康管理。比较2组患者疾病认知度、抗病毒治疗依从性及自我效能差异。结果对照组与观察组最终各30例完成本研究。对照组男15例,女15例,年龄(56.28±5.97)岁。观察组男16例,女14例,年龄(55.36±6.21)岁。观察组干预后感知益处、接纳评分分别为(20.36±2.47)、(23.54±2.67)分,高于对照组的(16.33±2.48)、(17.45±2.68)分,无助感评分为(5.33±0.67)分,低于对照组的(10.21±2.58)分,差异均有统计学意义(t=6.31、8.82、10.03,均P<0.05)。观察组干预后依从率为93.33%(28/30),高于对照组的70.00%(21/30),差异有统计学意义(χ^(2)=5.46,P<0.05)。干预后,观察组自我效能评分为(31.25±3.24)分,高于对照组的(25.33±2.67)分,差异有统计学意义(t=7.72,P<0.05)。结论目标设定理论指导的健康管理可有效提高CHB患者抗病毒治疗依从性,可能与目标设定理论指导的健康管理的应用可有效提高患者疾病认知度及自我效能有关,值得临床推广。ObjectiveTo investigate the effect of goal setting theory-guided health management on disease cognition,compliance with antiviral therapy and self-efficacy of patients with chronic hepatitis B(CHB)so as to provide a theoretical basis for developing clinical nursing plans for patients with CHB.MethodsA quasi-experiment study was conducted,and 60 patients with CHB who were admitted to Anhui Provincial Hospital of Integrated Traditional Chinese and Western Medicine(the Third Affiliated Hospital of Anhui University of Chinese Medicine)from November 2022 to June 2023 were selected as the study subjects by convenience sampling method.They were randomly divided into the observation group and the control group by the envelope method,with 30 cases in each group.The control group received routine health management,and the observation group received goal setting theory-guided health management.Effects on disease cognition,compliance with antiviral therapy and self-efficacy of the two groups were analyzed.ResultsThere were 30 patients in each group completed the research.In the control group,there were 15 males,15 females,aged(56.28±5.97)years.In the observation group,there were 16 males,14 females,aged(55.36±6.21)years.After intervention,the scores for perceived benefit and acceptance[(20.36±2.47)and(23.54±2.67)]were higher than those of the control group[(16.33±2.48)and(17.45±2.68)],helplessness score of the observation group was(5.33±0.67),lower than(10.21±2.58)of the control group with significant differences(t=6.31,8.82,10.03,all P<0.05).After intervention,compliance rate in the observation group[93.33%(28/30)]was higher than that in the control group[70.00%(21/30)],with significant difference(χ2=5.46,P<0.05).After intervention,the General Self-Efficacy Scale score of the observation group was(31.25±3.24),higher than(25.33±2.67)of the control group,with significant difference(t=7.72,P<0.05).ConclusionsGoal setting theory-guided health management can effectively improve compliance with antiviral therapy among

关 键 词：目标设定理论 健康管理 慢性乙型肝炎 疾病认知 抗病毒依从性 自我效能 

分 类 号：R473.5[医药卫生—护理学]