摘要
目的探讨信息-动机-行为技巧护理干预对失代偿期肝硬化患者自我管理能力、疾病认知水平及情绪的影响。方法将116例失代偿期肝硬化患者按照随机数字表法分为研究组和对照组,各58例。两组均给予常规护理干预,研究组在此基础上给予信息-动机-行为技巧护理干预。干预前后采用肝硬化自我管理行为量表评定两组自我管理能力,乙肝肝硬化患者知信行调查问卷评定两组疾病认知水平,抑郁-焦虑-压力量表评定两组焦虑、抑郁状况,中文版疾病不确定感成人量表评定两组不确定感程度。干预前后比较两组自我管理行为能力、疾病认知水平、抑郁-焦虑-压力量表评分和不确定感状态。结果干预后两组肝硬化自我管理行为量表及乙肝肝硬化患者知信行调查问卷各维度评分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.05或0.01)。干预后两组抑郁-焦虑-压力量表各维度评分均较干预前显著降低(P<0.01),研究组显著低于对照组(P<0.05或0.01)。干预后两组不确定感程度均显著低于干预前(P<0.05),研究组显著低于对照组(P<0.05)。结论信息-动机-行为技巧护理干预有助于提高失代偿期肝硬化患者的自我管理能力和疾病认知水平,降低患者对疾病的不确定感,改善负性情绪。
Objective To study the effects of information-motivation-behavioral skills model(IMB)nursing intervention on self-management ability,disease cognition and emotion in patients with decompensated cirrhosis.Methods A total of 116 patients with decompensated cirrhosis were divided into study group and control group according to random number table method,with 58 cases in each group.Both groups were given routine nursing intervention,and the study group was given IMB nursing intervention on this basis.Before and after the intervention,the self-management behavior scale for cirrhosis was used to evaluate the self-management ability of the two groups,the IMB questionnaire of patients with hepatitis b cirrhosis was used to evaluate the disease cognition level of the two groups,and the depression anxiety stress scale(DASS-21)was used to evaluate the anxiety and depression status of the two groups,and the Chinese version of uncertainty in illness scale was used to assess the degree of uncertainty in the two groups.The self-management behavior ability,disease cognition level,DASS-21 score and uncertainty state of the two groups were compared before and after intervention.Results After the intervention,the scores of each dimension of the self-management behavior scale for cirrhosis and the IMB questionnaire of patients with hepatitis b cirrhosis in the two groups were significantly higher than those before the intervention(P<0.01),and the study group was significantly higher than the control group(P<0.05 or 0.01).After the intervention,the scores of each dimension of DASS-21 in the two groups were significantly lower than those before the intervention(P<0.01),and the study group was significantly lower than the control group(P<0.05 or 0.01).After the intervention,the degree of uncertainty in the study group was significantly lower than that in the control group(P<0.05).Conclusions IMB nursing intervention can help improve the self-management ability and disease cognition level of patients with decompensated cirrhosis,reduce
作者
张德慧
王璐
范亚萍
Zhang Dehui;Wang Lu;Fan Yaping(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2022年第3期149-153,共5页
Journal of Clinical Psychosomatic Diseases
