自我调节理论护理在药物性肝炎患者中的应用效果  

Application effects of self-regulation theory nursing in patients with drug-induced hepatitis

作　　者：张天涯 ZHANG Tianya(1^(st)Department of Internal Medicine of Jiangxi Chest Hospital,Nanchang 330000 Jiangxi,China)

机构地区：[1]江西省胸科医院内一科,江西南昌330000

出　　处：《中国民康医学》2025年第8期177-179,183,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察自我调节理论护理在药物性肝炎患者中的应用效果。方法:选取2022年5月至2023年5月该院收治的78例药物性肝炎患者进行前瞻性研究,按随机数字表法将其分为对照组(n=39)和观察组(n=39)。对照组予以常规护理,观察组在对照组基础上予以自我调节理论护理,比较两组护理前后焦虑情绪[状态-特质焦虑量表(STAI)]评分、自我护理[自我护理能力量表(ESCA)]评分、健康行为[健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)]评分和治疗依从性优良率。结果:护理后,两组STAI评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组ESCA和HPLP-Ⅱ评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组治疗依从性优良率为92.31%(36/39),高于对照组的71.79%(28/39),差异有统计学意义(P<0.05)。结论:在常规护理基础上采用自我调节理论护理可提高药物性肝炎患者ESCA评分、HPLP-Ⅱ评分和治疗依从性优良率,降低STAI评分,效果优于单纯常规护理。Objective:To observe application effects of self-regulation theory nursing in patients with drug-induced hepatitis.Methods:A prospective study was conducted on 78 patients with drug-induced hepatitis admitted to this hospital from May 2022 to May 2023.They were divided into control group(n=39)and observation group(n=39)by using the random number table method.The control group was given routine nursing,while the observation group was given the self-regulation theory nursing on the basis of that of the control group.The scores of anxiety[state-trait anxiety inventory(STAI)],self-care[exercise of self-care agency scale(ESCA)]and health behavior[health-promoting lifestyle profile-II(HPLP-II)]before and after the nursing,and the excellent and good rate of treatment compliance were compared between the two groups.Results:After the nursing,the STAI scores of the two groups were lower than those before the nursing,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).After the nursing,the ESCA and HPLP-II scores of the two groups were higher than those before the nursing,those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Further,the excellent and good rate of treatment compliance in the observation group was 92.31%(36/39),which was higher than 71.79%(28/39)in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the self-regulation theory nursing can improve the ESCA scores,the HPLP-II scores and the treatment compliance rate of the patients with drug-induced hepatitis,and reduce the STAI scores.Moreover,it is superior to simple routine nursing.

关 键 词：自我调节理论护理 药物性肝炎 焦虑情绪 自我护理 健康行为 治疗依从性 

分 类 号：R473.5[医药卫生—护理学]