摘要
目的分析聚焦解决护理干预模式用于慢性乙型肝炎患者对其依从性和自我护理能力的改善作用。方法选取2019年6月至2021年6月南通市第三人民医院接收的慢性乙型肝炎患者112例为研究对象,按电脑数字表法随机分为对照组和观察组各56例。对照组行常规护理,观察组予以聚焦解决护理干预模式。比较两组的疾病态度、依从性、自我护理能力及生活质量。结果干预后,观察组医学应对调查问卷(MCMQ)中的"积极"项目评分高于对照组,"消极"项目评分低于对照组,差异均有统计学意义(均P<0.05);观察组的治疗依从率为96.43%,高于对照组的82.14%,差异有统计学意义(P<0.05);观察组自我护理能力测定量表(ESCA)评分为(145.92±19.57)分,高于对照组的(134.18±19.86)分,差异有统计学意义(P<0.05);观察组的慢性肝病问卷(CLDQ)评分为(169.36±20.76)分,高于对照组的(130.68±21.04)分,差异有统计学意义(P<0.05)。结论聚焦解决护理干预模式用于慢性乙型肝炎患者效果显著,有助于改善患者的疾病态度,提升其依从性,并促进患者自我护理能力及生活质量提高。
Objective To analyze and focus on solving the effect of nursing intervention model used in patients with chronic hepatitis B to improve their compliance and self-care ability.Methods A total of 112 cases of patients with chronic hepatitis B were received from this hospital from June 2019 to June 2021 were selected as the research objects,randomly divided into two groups according to the computer digital table method,56 cases of the control group were given routine care,56 cases in the observation group were focused on solving the nursing intervention model.The disease attitude,compliance,self-care ability and quality of life of the two groups were compared.Results After intervention,in the observation group,the scores of"positive"items in the MCMQ was higher than the control group,while the scores of"negative"items in the MCMQ were lower than the control group(P<0.05).In the observation group,the compliance rate was 96.43%,which was higher than 82.14%of the control group(P<0.05).In the observation group,the ESCA score was(145.92±19.57),which was higher than the(134.18±19.86)of the control group(P<0.05).In the observation group,the CLDQ score was(169.36±20.76),which was higher than(130.68±21.04)of the control group(P<0.05).Conclusions Focusing on solving the nursing intervention model has a significant effect on patients with chronic hepatitis B,which helps to improve patients′attitudes towards disease,enhance compliance,as well as promote patients′self-care ability and quality of life.
作者
张文芸
王园园
孙岳
Zhang Wenyun;Wang Yuanyuan;Sun Yue(Department of Hepatology,The Third People′s Hospital of Nantong City,Nantong 226000,China)
出处
《国际护理学杂志》
2024年第2期193-197,共5页
international journal of nursing
基金
南通市科技计划(指导性)项目(MSZ19187)。
关键词
聚焦解决护理干预模式
慢性乙型肝炎
疾病态度
依从性
自我护理能力
生活质量
Focus on solving the nursing intervention model
Chronic hepatitis B
Disease attitude
Compliance
Self-care ability
Quality of life
