CICARE沟通模式联合结构式心理干预对急性胰腺炎患者的影响  

Influence of CICARE communication mode combined with structural psychological intervention on patients with acute pancreatitis

作　　者：王少秋 黄姚 王欢 Wang Shaoqiu;Huang Yao;Wang Huan(Department of Gastroenterology,Affiliated Hospital of Jiujiang University,Jiujiang 332000,China;Department of Gastrointestinal and Hernia Surgery,Affiliated Hospital of Jiujiang University,Jiujiang 332000,China)

机构地区：[1]九江学院附属医院消化内科,九江332000 [2]九江学院附属医院胃肠疝外科,九江332000

出　　处：《国际医药卫生导报》2025年第8期1381-1385,共5页International Medicine and Health Guidance News

基　　金：江西省卫生健康委科技计划(202410696)。

摘　　要：目的观察CICARE沟通模式联合结构式心理干预对急性胰腺炎(AP)患者自我效能及自护能力的影响。方法前瞻性研究,选取2023年2月至2024年2月九江学院附属医院收治的90例AP患者作为研究对象,按照随机数字表法分为对照组(45例)和观察组(45例)。对照组男27例、女18例,年龄(45.37±3.25)岁,实施常规护理;观察组男25例、女20例,年龄(46.02±3.28)岁,在常规护理基础上实施CICARE沟通模式联合结构式心理干预。对比两组自我效能[采用一般自我效能感量表(GSES)评估]、自理能力[采用自我护理能力量表(ESCA)评估]、身体健康状况[采用急性生理学及慢性健康状况评分系统Ⅱ(APACHEⅡ)评估]、症状改善时间及住院时间。统计学方法采用t检验、χ^(2)检验。结果干预前,两组患者自我效能、自理能力、身体健康状况比较,差异均无统计学意义(均P>0.05)。干预2周后,观察组GSES及ESCA评分均高于对照组[(31.25±5.43)分比(27.62±4.37)分、(147.48±7.49)分比(133.62±6.48)分],APACHEⅡ评分低于对照组[(10.58±1.38)分比(12.34±2.54)分],发热、腹痛消失及住院时间均短于对照组[(2.86±0.64)d比(4.25±0.85)d、(4.26±0.74)d比(5.15±0.97)d、(15.42±0.86)d比(18.67±1.25)d],差异均有统计学意义(t=3.494、9.388、4.084、8.764、4.894、14.369,均P<0.05)。结论CICARE沟通模式联合结构式心理干预可提高AP患者自我效能及自护能力,改善躯体疾病健康状况,促进疾病康复进程,缩短症状消失及住院时间。Objective To observe the effects of CICARE communication mode combined with structural psychological intervention on self-efficacy and self-care ability in patients with acute pancreatitis(AP).Methods Ninety patients with AP treated at Affiliated Hospital of Jiujiang University from February 2023 to 2 February 2024 were selected for the prospective study,and were divided into a control group and an observation group by the random number table method,with 45 cases in each group.There were 27 males and 18 females in the control group;they were(45.37±3.25)years old.There were 25 males and 20 females in the observation group;they were(46.02±3.28)years old.The control group took routine nursing;in addition,the observation group received the CICARE communication mode and structural psychological intervention.The self-efficacies[General Self-Efficacy Scale(GSES)],self-care ability[Self-Care Scale(ESCA)],physical health status[Acute Physiology and Chronic Health Score Assessment(APACHEⅡ)],symptom improvement times,and hospital stays were compared between the two groups by t andχ^(2)tests.Results Before the intervention,there were no statistical differences in self-efficacy,self-care ability,and physical health status between the two groups(all P>0.05).After the intervention,the scores of GSES,ESCA,and APACHEⅡin the observation group were better than those in the control group(31.25±5.43 vs.27.62±4.37,147.48±7.49 vs.133.62±6.48,and 10.58±1.38 vs.12.34±2.54);the times for the disappearance of fever and abdominal pain and hospital stay in the observation group were shorter than those in the control group[(2.86±0.64)d vs.(4.25±0.85)d,(4.26±0.74)d vs.(5.15±0.97)d,and(15.42±0.86)d vs.(18.67±1.25)d];there were statistical differences(t=3.494,9.388,4.084,8.764,4.894,and 14.369;all P<0.05).Conclusion CICARE communication mode combined with structural psychological intervention for patients with AP can improve their self-efficacy and self-care ability,and health status of physical disease,promote their recovery,

关 键 词：急性胰腺炎 CICARE沟通模式 心理 自我效能 自护能力 

分 类 号：R473.5[医药卫生—护理学]