基于正强化理论的护理模式干预对系统性红斑狼疮患者希望水平及自护能力的影响  

Effect of nursing intervention based on positive reinforcement theory on hope level and self-care ability of patients with systemic lupus erythematosus

作　　者：李君 陈日新[1] 罗芳[2] 裴理皓 LI Jun;CHEN Rixin;LUO Fang;PEI Lihao(The First People's Hospital of Nanyang City,Department of Dermatology,Nanyang 473000,China;The First People's Hospital of Nanyang City,Emergency Department,Nanyang 473000,China)

机构地区：[1]南阳市第一人民医院皮肤科,河南南阳473000 [2]南阳市第一人民医院急诊科,河南南阳473000

出　　处：《黑龙江医药科学》2025年第3期60-64,共5页Heilongjiang Medicine and Pharmacy

基　　金：河南省医学科技攻关联合共建项目,编号:LHGJ20192117。

摘　　要：目的:探讨基于正强化理论的护理模式干预对系统性红斑狼疮(systemic lupus erythematosus,SLE)患者希望水平及自护能力的影响。方法:选取2021年12月至2023年12月南阳市第一人民医院收治的108例SLE患者,采用随机抽签法分为对照组54例、观察组54例。对照组给予常规护理模式,观察组给予基于正强化理论的护理模式。比较两组希望水平[Herth希望量表(HHI)]、心理状态[症状自评量表(SCL-90)]、疾病知识知晓情况、自护能力[自我护理能力量表(ESCA)]、疾病活动性[SLE疾病活动度指数(SLEDAI-2000)]及再入院率。结果:干预12周后,观察组HHI评分高于对照组(P<0.05);干预12周后,观察组SCL-90量表抑郁、焦虑、敌对、敏感评分低于对照组(P<0.05);干预12周后,观察组疾病知识知晓情况优于对照组(P<0.05);干预12周后,观察组ESCA评分高于对照组,SLEDAI-2000评分低于对照组(P<0.05);出院后3个月内观察组再入院率11.11%低于对照组25.93%(P<0.05)。结论:基于正强化理论的护理模式能有效提升SLE患者的希望水平和自护能力,改善其心理状态,降低疾病活动性,并降低再入院率。Objective:To explore the effect of nursing intervention based on positive reinforcement theory on the hope level and self-care ability of patients with systemic lupus erythematosus(SLE).Methods:108 patients with SLE in the First People's Hospital of Nanyang City from December 2021 to December 2023 were selected and randomly divided into control group 54 cases and observation group 54 cases using a random lottery method.The control group was given conventional nursing mode,and the observation group was given nursing mode based on positive reinforcement theory.The hope level[herth hope scale(HHI)],psychological status[symptom checklist 90(SCL-90)],awareness of disease knowledge,self-care ability[exercise of self-care agency scale(ESCA)],disease activity[SLE disease activity index(SLEDAI-2000)]and readmission rate were compared between the two groups.Results:After 12 weeks of intervention,the HHI score in the observation group was higher than that in the control group(P<0.05);After 12 weeks of intervention,the scores of depression,anxiety,hostility and sensitivity in the SCL-90 scale in the observation group were lower than those in the control group(P<0.05);After 12 weeks of intervention,the knowledge of disease in the observation group was better than that in the control group(P<0.05);After 12 weeks of intervention,the ESCA score in the observation group was higher than that in the control group,and the SLEDAI-2000 score was lower than that in the control group(P<0.05);The readmission rate of the observation group within 3 months after discharge was 11.11%,which was lower than that of the control group 25.93%(P<0.05).Conclusion:The nursing model based on the theory of positive reinforcement can effectively enhance the hope level and self-care ability of SLE patients,improve their psychological state,reduce disease activity,and reduce the rate of readmission.

关 键 词：正强化理论 系统性红斑狼疮 护理 希望水平 自护能力 

分 类 号：R758.62[医药卫生—皮肤病学与性病学]