摘要
目的:探讨基于知信行模式的护理干预对激光术后色素沉淀患者不良情绪及应对方式的影响。方法:选取2018年1月-2020年12月在武汉市第三医院首义院区门诊皮肤科激光术后色素沉淀患者250例,根据护理方法将患者分为观察组(n=125)及对照组(n=125),对照组行皮肤科常见护理,观察组在对照组基础上应用知信行模式实施护理干预,比较两组患者不良情绪、疾病认知、应对方式及治疗依从性。结果:干预后,两组HAMA评分[(18.69±3.89)分vs.(30.58±3.77)分]、HAMD评分[(31.10±3.92)分vs.(48.56±4.23)分]、屈服评分[(10.08±2.12)分vs.(13.96±2.36)分]、回避评分[(13.26±2.36)分vs.(16.98±3.41)分]比较,观察组均显著更低(P<0.05),而两组面对评分[(25.25±4.69)分vs.(22.36±3.89)分]、疾病认知评分[(81.02±5.78)分vs.(68.89±4.52)分]及治疗依从性评分[(12.98±2.02)分vs.(8.69±1.36)分]比较,观察组均显著更高(P<0.05)。结论:以知信行模式为指导的护理干预有助于激光术后色素沉淀患者更好地认知疾病,消除患者围手术期不良情绪,有利于患者更好地应对疾病,提升患者遵医行为依从性。
Objective:To explore the effect of nursing intervention based on the knowledge-belief-behavior model on the unhealthy mood and coping styles of patients with pigmentation after laser surgery.Method:A total of 250 cases of patients with pigmentation after laser surgery in Outpatient Dermatology,Shouyi Hospital District of Wuhan Third Hospital were selected from January 2018 to December 2020.The patients were divided into an observation group(n=125)and a control group(n=125)by nursing methods.The control group received routine nursing intervention,and observation group applied knowledge-belief-action model to implement nursing intervention on the basis of the control group.The unhealthy mood,disease cognition,coping style and treatment compliance of two groups of patients were compared.Result:After intervention,the HAMA scores[(18.69±3.89)points vs.(30.58±3.77)points],HAMD scores[(31.10±3.92)points vs.(48.56±4.23)points],yield scores[(10.08±2.12)points vs.(13.96±2.36)points],avoidance scores[(13.26±2.36)points vs.(16.98±3.41)points]were compared between the two groups,those of the observation group were lower than those of the control group(P<0.05),the two groups were compared in terms of face scores[(25.25±4.69)points vs.(22.36±3.89)points],disease cognition scores[(81.02±5.78)points vs.(68.89±4.52)points]and treatment compliance scores[(12.98±2.02)points vs.(8.69±1.36)points],those of the observation group were higher than those of the control group(P<0.05).Conclusion:The nursing intervention guided by the mode of knowledge-belief-behavior is helpful for the patients with pigmentation after laser surgery to better recognize the disease,eliminate the patients'unhealthy mood during the perioperative period,help the patients to better cope with the disease,and improve the compliance of patients with medical behaviors.
作者
陈丹
徐慧君
CHEN Dan;XU Huijun(Shouyi Hospital District of Wuhan Third Hospital,Wuhan 430070,China)
出处
《中国医学创新》
CAS
2023年第18期120-124,共5页
Medical Innovation of China
关键词
知信行模式
护理干预
激光术后色素沉淀
不良情绪
应对方式
Knowledge-belief-behavior model
Nursing intervention
Pigmentation after laser surgery
Unhealthy mood
Coping style
