自我效能理论在哮喘患者护理中的应用

Application of self - efficacy theory in asthmatic patients＇ nursing

目的探讨自我效能理论在哮喘患者护理中的应用。方法选择2007年3月-2008年5月我院呼吸内科门诊的支气管哮喘患者179例，将患者随机分为干预组和对照组，均按常规治疗护理。干预组在此基础上采用增强自我效能的护理途径和方法。分别在患者入院、治疗3个月后进行1次自我效能感量表（GSES）问卷调查和肺功能测定。结果两组患者入院时GSES评分差异无统计学意义（P〉0．05），而干预组采用增强自我效能的护理途径和方法，3个月后GSES评分明显提高，与对照组比较，差异有统计学意义（P〈0．05）；干预后两组的FVC、FEV1和PEFR均有显著性增加（P〈0．05）。结论自我效能能增强哮喘患者的治疗效果。

Objective To investigate the application of self - efficacy theory in asthmatic patients＇ nursing. Methods 179 bronchus asthma outpatients from respiratory department of our hospital during 2007 - 3 to 2008 - 5 were randomly divided into intervention and control groups, conventional therapy and nursing were given to both groups, the intervention group was applied enhancing self- efficacy＇s nursing ways and methods on the basis of conventional therapy and nursing. Serf - efficacy questionnaire was carried out and lung function was tested at admission and 3 - month post - therapy. Results Two groups had no statistically significant （ P 〉 0. 05 ） in GSES score at admission. After 3 - month, the GSES score of intervention group was significantly improved （ P 〈 0. 05 ） compared with that of control group; the levels of FVC, FEV1 and PEFR of both group were significantly increased （ P 〈 0. 05 ） after intervention. Conclusions Self - efficacy theory can improve therapeutic efficacy of asthmatic patients.