摘要
背景本研究以交互分析模式为理论框架,对青年乙肝患者展开同伴支持,以期为提高青年乙肝患者的疾病认知度,缓解被歧视心理,减轻自我感受负担,增强自我管理能力,从而使其保持乐观心理,积极面对生活、遵医科学治疗.目的分析基于交互分析模式的同伴支持模式对青年乙肝患者疾病认知、被歧视心理及自我管理能力的影响,以期为临床感染性疾病的护理工作拓展新思路.方法选取我院2019-01/2020-10感染科青年乙肝患者98例作为研究对象,按入院建档奇偶排序,以1:1配对原则分组,各49例,对照组采取常规护理,于此基础上观察组采取基于交互分析模式的同伴支持模式.比较分析两组干预前后疾病认知、自我感受负担(self-perceived burden scale,SPBS)、被歧视心理及自我管理能力(adult health self-management skill rating scale,AHSMSRS).结果干预后观察组疾病认知度各维度评分均高于对照组(P<0.05);干预后观察组被歧视心理各维度评分均低于对照组(P<0.05);干预后观察组SPBS各维度评分均低于对照组(P<0.05);干预后观察组自我管理能力各项评分均高于对照组(P<0.05).结论在青年乙肝患者管理工作中,基于交互分析模式的同伴支持模式有助于提高患者疾病认知度,减轻心理负担,纠正被歧视心理,同时可增强患者自我管理能力,这对病情控制具有积极作用.
BACKGROUND This study used the interactive analysis model as the theoretical framework to carry out peer support for young hepatitis B patients,in order to improve their disease awareness,alleviate their discriminated mentality,reduce their burden of self-feeling,and enhance their self-management ability,so as to make them optimistic psychologically,face life positively,and follow scientific medical treatment.AIM To analyze the influence of interactive analysis model-based peer support model on disease cognition,discriminated mentality,and self-management ability in young hepatitis B patients,in order to expand new ideas for the nursing of clinical infectious diseases.METHODS Ninety-eight young hepatitis B patients treated at the Department of Infectious Diseases of our hospital from January 2019 to October 2020 were selected as the research subjects.They were divided into either a control group or an observation group according to the order of admission according to the 1:1 matching principle,with 49 cases in each group.Both groups received routine care,and the observation group additionally adopted an interactive analysis model-based peer support model.Disease cognition,self-perceived burden(SPBS),discriminated mentality,and self-management ability(AHSMSRS)before and after intervention were analyzed between the two groups.RESULTS After the intervention,the scores of all dimensions of disease awareness in the observation group were higher than those of the control group(P<0.05),the scores of all dimensions of discriminated mentality in the observation group were lower than those of the control group(P<0.05),the scores of all dimensions of SPBS in the observation group were lower than those of the control group(P<0.05),and the scores of all dimensions of self-management ability in the observation group were higher than those of the control group(P<0.05).CONCLUSION In the management of young hepatitis B patients,the peer support model based on the interactive analysis model can help improve the patients’awarenes
作者
吴丽春
黄玲燕
易会兴
Li-Chun Wu;Ling-Yan Huang;Hui-Xing Yi(Department of Preventive Health Care,Zhejiang Quhua Hospital,Quzhou 324000,Zhejiang Province,China;Department of Radiation Oncology,Zhejiang Quhua Hospital,Quzhou 324000,Zhejiang Province,China;Department of Emergency Medicine,Zhenjiang Fourth People’s Hospital,Zhenjiang 212000,Jiangsu Province,China)
出处
《世界华人消化杂志》
CAS
2022年第23期1032-1038,共7页
World Chinese Journal of Digestology
关键词
交互分析模式
同伴支持
乙肝
青年
被歧视心理
疾病认知
自我管理能力
Interaction analysis model
Peer support
Hepatitis B
Youth
Discriminated psychology
Disease perception
Self-management ability
