摘要
目的从社会支持视角下构建慢性乙型肝炎患者自我管理模式,并开展临床研究,验证应用效果。方法检索关于社会支持视角下慢性乙型肝炎患者自我管理模式相关文献进行证据提取,并进行专家函询,制订社会支持视角下慢性乙型肝炎患者自我管理模式,模式构建后,按照组间基本特征具有可比性的原则分别从医院2023年1—4月和2023年5—8月收治的慢性乙型肝炎患者中各抽取60例作为对照组和观察组,其中,对照组应用常规自我管理模式,观察组应用社会支持视角下自我管理模式,比较两组干预前后社会支持获得度、家庭关怀度、疾病歧视度、自我效能感、希望水平、自我管理行为、病毒载量以及生活质量。结果根据两轮专家函询结果最终确定3个一级指标、13个二级指标和15个三级指标。应用结果显示,干预后,观察组社会支持获得度、家庭关怀度、希望水平、自我效能感、自我管理行为和生活质量的量表得分高于对照组,观察组疾病歧视度的量表得分和病毒载量低于对照组,差异均有统计学意义(P<0.05)。结论慢性乙型肝炎患者疾病管理中应用社会支持视角下自我管理模式的可靠性强,可有效地提升患者社会支持获取度和家庭关怀度,减轻其疾病歧视感,进而有效提升其自我效能感、疾病希望水平以及自我管理能力,减少病毒载量水平,控制病情进展,改善其生活质量。
Objective To construct a self-management model for patients with chronic hepatitis B under the perspective of social support,and to conduct a clinical study to verify the application effect.Methods To searched the literature on the selfmanagement model of chronic hepatitis B patients from the perspective of social support and extracted the evidence,enquiry to develop a self-management model of chronic hepatitis B patients from the perspective of social support.When the model was constructed,60 cases of chronic hepatitis B patients admitted from January to April 2023 and May-August 2023 were selected as the control group and the observation group respectively according to the principle of comparability of the basic characteristics of the groups,in which the control group applied the conventional self-management model and the observation group applied the self-management model under the viewpoint of social support,and the social support,family care,disease discrimination,self-efficacy,hope,self-management behaviors,viral load and quality of life of the two groups were compared before and after the intervention and quality of life.Results Three primary indicators,13 secondary indicators and 15 tertiary indicators were finalized according to the results of two rounds of experts enquiry.The results showed that after the intervention,the scores of social support,family care,hope level,self-efficacy,self-management behavior,and quality of life of the observation group were higher than those of the control group,and the scores of disease discrimination and viral load of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion The self-management model under the perspective of social support is reliable in the disease management of chronic hepatitis B patients,which could effectively improve the degree of social support acquisition and family care,reduce the sense of disease discrimination,and improve the patients self-efficacy effectively,the level
作者
孙岳
钱湘云
王美兰
王园园
张文芸
SUN Yue;QIAN Xiangyun;WANG Meilan;WANG Yuanyuan;ZHANG Wenyun(Nantong Third People's Hospital/Nantong Third Hospital Affiliated to Nantong University,Nantong 226006,China)
出处
《护理实践与研究》
2024年第12期1801-1807,共7页
Nursing Practice and Research
基金
中国心理卫生协会护理心理专业委员会心理护理科学研究规划课题(编号:22-23-53)
南通市卫生健康委员会科研课题(编号:MSZ2022042)
南通市社会民生科技计划项目(编号:MSZ2022053)。
