基于自我调节理论的护理方案在慢性胰腺炎患者中的应用研究  

Application research of nursing scheme based on self-regulation theory in patients with chronic pancreatitis

作　　者：王丹 谭志生 谢嘉伦 康新 阮火照 潘秋容 王丽华 Wang Dan;Tan Zhisheng;Xie Jialun;Kang Xin;Ruan Huozhao;Pan Qiurong;Wang Lihua(Outpatient Department,The Fifth Afiliated Hospital of Southern Medical University,Guangzhou 510900,China;Department of EICU,Zhongshan Hospital Affiliated to Dalian University,Dalian 116001,China)

机构地区：[1]南方医科大学第五附属医院门诊部,广州510900 [2]大连大学附属中山医院EICU,大连116001

出　　处：《中国实用护理杂志》2025年第13期963-969,共7页Chinese Journal of Practical Nursing

基　　金：广东省普通高校特色创新项目(2022KTSCX024)。

摘　　要：目的探讨基于自我调节理论(SRT)的护理方案对慢性胰腺炎患者自我效能感及生命质量等的影响,为更好地促进患者康复提供依据。方法采用非随机历史对照研究方法,将南方医科大学第五附属医院2021年11月至2022年10月收治的慢性胰腺炎患者55例归为对照组,2022年11月至2023年10月收治的慢性胰腺炎患者55例归为研究组。对照组采用常规护理干预,研究组采用基于SRT的护理方案干预,2组均干预3个月。采用一般自我效能感量表、自我护理能力测定量表、健康行为能力自评量表、胃肠道生命质量指数评估2组患者干预前后自我效能感、自我护理能力、健康行为及生命质量并进行统计学比较。结果2组患者均完成研究。对照组男28例,女27例;年龄(45.33±12.26)岁。研究组男30例,女25例;年龄(45.48±12.61)岁。干预后,研究组自我效能感评分为(29.32±2.88)分,高于对照组的(19.28±1.95)分,差异有统计学意义(t=21.41,P<0.05);研究组自我护理技能、自我责任感、自我概念、健康知识评分及自我护理能力总分分别为(35.32±2.31)、(22.85±1.42)、(25.88±1.93)、(64.32±5.22)、(148.34±8.33)分,均高于对照组的(28.66±1.77)、(17.22±1.23)、(18.67±1.86)、(60.08±4.52)、(124.56±8.92)分,差异均有统计学意义(t值为4.55~22.23,均P<0.05);研究组运动、营养、健康责任和心理安适评分及健康行为总分分别为(25.58±1.41)、(25.02±2.03)、(24.31±2.34)、(25.16±1.63)、(100.05±7.36)分,均高于对照组的(22.31±2.03)、(20.15±2.82)、(20.16±2.89)、(21.15±2.17)(83.79±7.84)分,差异均有统计学意义(t值为8.28~11.21,均P<0.05);研究组社交活动状态、心理状态、生理功能、自觉症状评分及生命质量总分分别为(16.78±1.26)、(17.03±1.85)、(22.43±1.96)(17.09±0.88)、(73.41±4.22)分,均高于对照组的(15.32±1.15)、(15.34±1.76)、(20.86±1.59)、(16.03±0.75)、(67.52±4.18)分,差异均有统计学意义(t值�Objective To explore the effect of nursing scheme based on self-regulation theory(SRT)on self-efficacy and quality of life of patients with chronic pancreatitis,and to provide basis for better promoting patients'rehabilitation.Methods Using a non-random historical control study,55 patients with chronic pancreatitis admitted to The Fifth Affiliated Hospital of Southern Medical University from November 2021 to October 2022 were classified as the control group,and 55 patients with chronic pancreatitis admitted from November 2022 to October 2023 were classified as the research group.The control group received routine nursing intervention,while the research group received SRT-based nursing intervention.Both groups received a 3-month intervention.The General Self-Efficacy Scale,Exercise of Self-Care Agency Scale,Self Rated Abilities for Health Practices Scale,and Gastrointestinal Quality of Life Index were used to evaluate the self-efficacy,self-care ability,health behavior,and quality of life of two groups before and after the intervention,and statistical comparisons were made.Results Both groups of patients completed the study.There were 28 males and 27 females in the control group.The age was(45.33±12.26)years old.There were 30 males and 25 females in the research group.The age was(45.48±12.61)years old.Affter the intervention,the score of the self-efficacy in the research group was(29.32±2.88)points,which was higher than that in the control group(19.28±1.95)points,the difference was significant(t=21.41,P<0.05).The scores of self-care skills,self-responsibility,self-concept,health knowledge and the total score of the self-care ability in the research group were(35.32±2.31),(22.85±1.42),(25.88±1.93),(64.32±5.22),(148.34±8.33)points respectively.They were all higher than those of the control group(28.66±1.77),(17.22±1.23),(18.67±1.86),(60.08±4.52),(124.56±8.92)points.The dfferences were significant(t values were 4.55-22.23,all P<0.05).The scores of exercise,nutrition,health responsibility,psychological c

关 键 词：胰腺炎 慢性 护理 生命质量 自我调节理论 自我效能 

分 类 号：R473.5[医药卫生—护理学]