摘要
目的分析基于行动研究法理论的健康管理在中青年非酒精性脂肪性肝病(NAFLD)患者中的应用效果。方法选择2019年8月至2021年8月徐州医科大学附属医院收治的150例中青年NAFLD患者,以随机数字表法分别纳入观察组(75例)和对照组(75例)。2组均接受常规护理及微信健康教育,观察组加用基于行动研究法理论的健康管理。对比2组患者在干预前后的体格参数、血脂和肝功能指标、自我效能及生活质量变化。结果观察组在干预3个月及干预6个月后的腰围均小于干预前,身体质量指数(BMI)均低于干预前;对照组在干预6个月后的腰围小于干预前,BMI低于干预前;相比于同期对照组,观察组的腰围和BMI均更优,差异均存在统计学意义(P均<0.05)。相比于干预前,2组在干预3个月及干预6个月后的甘油三酯、总胆固醇、丙氨酸氨基转移酶和天门冬氨酸氨基转移酶水平均降低(P均<0.05);相比于同期对照组,观察组的各项指标水平均更低(P均<0.05)。相比于干预前,2组在干预6个月后的中文版一般自我效能量表(GSES)、健康调查量表36(SF-36)评分均升高(P均<0.05);与对照组相比,观察组的GSES、SF-36评分均更高(P均<0.05)。结论基于行动研究法理论的健康管理有助于改善中青年NAFLD患者的体格参数、血脂及肝功能指标,提升其自我效能和生活质量。
Objective To analyze the application effect of health management based on action research theory in the young and middle-aged patients with non-alcoholic fatty liver disease(NAFLD).Methods A total of 150 young and middle-aged patients with NAFLD at the Affiliated Hospital of Xuzhou Medical University from August 2019 to August 2021 were enrolled.They were assigned to an observation group(75 cases)and a control group(75 cases)by the use of a random number table.Both groups received routine nursing and WeChat health education,and the observation group additionally received health management based on the action research theory.The physical parameters,blood lipids,liver function,self-efficacy,and quality of life of the two groups were compared before and after intervention.Results In the observation group,the waist circumference and body mass index(BMI)after 3 and 6 months of intervention were lower than those before the intervention.In the control group,the waist circumference and BMI after 6 months of intervention were lower than those before the intervention.Compared with the control group,the observation group had lower waist circumference and BMI.The differences were statistically significant(all P<0.05).Compared with before the intervention,the levels of triglyceride,total cholesterol,alanine aminotransferase,and aspartate aminotransferase in the two groups decreased after 3 and 6 months of intervention(all P<0.05).Compared with the control group,the observation group had lower levels of the above indicators(all P<0.05).Compared with before the intervention,the scores of the Chinese version of General Self-Efficacy Scale(GSES)and 36-Item Short-Form Health Survey(SF-36)in the two groups increased after 6 months of intervention(all P<0.05).Compared with the control group,the observation group had higher GSES and SF-36 scores(both P<0.05).Conclusion The health management based on the action research theory is helpful to improve the physical parameters,blood lipids,and liver function indicators of young and middle-
作者
齐琪
苏晴
李瑜
QI Qi;SU Qing;LI Yu(Department of Infectious Diseases,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China;Department of Pain,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China;Department of Radiotherapy,The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)
出处
《中西医结合护理（中英文）》
2022年第12期29-32,共4页
Journal of Clinical Nursing in Practice
关键词
非酒精性脂肪肝
行动研究法
健康管理
自我效能
non-alcoholic fatty liver disease
action research
health management
self-efficacy
