摘要
目的探讨基于行为转变理论的护理干预对变应性鼻炎(AR)脱敏治疗依从性及疾病感知控制的影响。方法选取2020年5月至2021年5月在武汉大学人民医院收治的100例AR患者,采用随机数表法将入组患者分为观察组(n=50)和对照组(n=50)。对照组患者予以常规护理干预,观察组患者予以基于行为转变理论的护理干预,均持续干预3个月。评估两组患者治疗依从性;在护理干预前后,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、修订版控制态度量表(CAS-R)、自我护理能力测定量表(ESCA)评估两组患者焦虑、抑郁、疾病感知控制能力及自我护理能力。结果观察组AR患者治疗依从率显著高于对照组(94.00%vs 80.00%,P<0.05);干预后,观察组患者的SAS、SDS评分显著低于对照组,CAS-R评分、ESCA评分显著高于对照组(P<0.01)。结论行为转变理论的护理干预可提高AR患者脱敏治疗依从性及对疾病感知控制能力。
Objective To explore the nursing effect of behavioral change based nursing intervention in allergic rhinitis( AR) desensitization treatment. Methods A total of 100 AR patients admitted to Renmin Hospital of Wuhan University from May 2020 to May 2021 were enrolled and divided into observation group( n = 50) and control group( n = 50)randomly. The control group were given routine nursing intervention,while observation group were given nursing intervention based on behavioral change theory. All patients were continuously intervened for 3 months. The treatment compliance in both groups was evaluated. Before and after nursing intervention,self-rating anxiety scale( SAS),selfrating depression scale( SDS),Revised Control Attitude Scale( CAS-R) and exercise of self-care agency scale( ESCA)were used to evaluate anxiety and depression,disease perception control and self-care ability. Results The treatment compliance rate in observation group was higher than that in control group( 94. 00% vs 80. 00%,P < 0. 05). After intervention,SAS and SDS were significantly lower,CAS-R and ESCA were significantly higher in observation group than those in control group( P < 0. 01). Conclusion Nursing intervention based on behavior transition theory can improve compliance of desensitization therapy and disease perception control in AR patients.
作者
刘蒙
雷薇薇
邹游
李芳丽
LIU Meng;LEI Wei-wei;ZOU You;LI Fang-li(Second Department of Otorhinolaryngology-Head and Neck Surgery,Renmin Hospital of Wuhan University,Wuhan,Hubei 430060,China)
出处
《中国临床研究》
CAS
2022年第9期1324-1328,共5页
Chinese Journal of Clinical Research
基金
湖北省自然科学基金(2020CFB236)。
关键词
行为转变理论
变应性鼻炎
脱敏治疗
依从性
疾病感知控制
Behavior transition theory
Allergic rhinitis
Desensitization therapy
Compliance
Disease perception control