自我效能干预在慢性胃炎患者护理中的应用效果

Application of self-efficacy intervention in improving nursing of patients with chronic gastritis

目的考察自我效能干预在慢性胃炎患者护理中的应用效果。方法选取2017年12月-2019年6月期间诸暨市第二人民医院就诊的120例慢性胃炎患者。按随机数字法分为2组,对照组(60例)采用常规护理,观察组(60例)采用自我效能干预;2组患者于干预3个月后进行评价,比较2组患者干预前、干预后自我效能感(自我效能感评估量表测定)、健康行为[健康促进生活方式量表(HPLP-Ⅱ)测定]及遵医行为(自制的依从性调查表测定)。结果观察组干预后自我效能感评分[(43.51±3.42)分]高于对照组的(37.42±3.40)分(t=9.782,P<0.05)。观察组干预后健康行为评分[(127.96±14.58)分]高于对照组的(102.51±13.97)分,差异有统计学意义(t=9.763,P<0.05)。观察组干预后规律用药、定期复查、情绪控制、合理膳食及准确运动的依从性与对照组比较差异均有统计学意义(Uc=11.580、7.500、6.710、10.210、7.070,均P<0.05)。结论自我效能干预能够提高自我效能感,增强慢性胃炎患者遵医依从性,帮助患者建立健康行为。

Objective Investigate the effect of self-efficacy intervention in improving the care of patients with chronic gastritis.Methods A total of 120 patients with chronic gastritis treated in our hospital from December 2017 to June 2019 were selected and divided into two groups according to the random number grouping method,that is,the control group(n=60)used conventional nursing;the observation group(n=60)used self-efficacy intervention;the two groups were evaluated after 3 months of intervention,and the two groups were compared.Self-efficacy(measurement of self-efficacy assessment scale),health behavior[measurement of health promotion lifestyle scale(HPLP-Ⅱ)],and compliance behavior(measured by our hospital’s self-compliance questionnaire)before and after intervention.Results After 3 months of intervention,the scores of self-efficacy(43.51±3.42)in the observation group were higher than those in the control group(37.42±3.40),t=9.786,P<0.05.The scores of healthy behavior(127.96±14.58)were higher than those in the control group(102.51±13.97),t=9.763,P<0.05.The difference of adherence of regular medication,regular review,emotional control,reasonable diet and accurate exercise between the two groups were all statistically significant(Uc=11.580,7.500,6.710,10.210 and 7.070,all P<0.05).Conclusion Self-efficacy intervention can improve self-efficacy,enhance compliance of patients with chronic gastritis,and help patients to establish healthy behaviors.It is of great clinical significance and is worth promoting.