改良冲洗法对阴道炎患者自我效能、遵医行为及疗效的研究

The study of the effectiveness of the improved vaginal douche method on colpitis patients＇self-efficacy, compliance behavior and curative effect

目的探讨改良阴道冲洗法及个性化护理干预对阴道炎患者自我效能、遵医行为及疗效的影响。方法选择阴道炎患者500例，随机分为干预组250例和对照组250例。对照组采用常规冲洗方法加阴道放药，7d为l疗程；干预组采用臭氧水改良冲洗法，5d为1疗程，同时应用Orem自理理论对患者实施系统的护理干预。采用遵医调查表、一般自我效能感量表对患者进行自我效能、遵医行为和疗效进行评价。结果干预组自我效能、遵医行为及疗效明显提高（P〈0．01）。结论对阴道炎患者采用改良冲洗法及个性化的护理干预，可增强患者的自我效能，改善遵医行为，缩短疗程，提高疗效。

Objective To probe into the positive effects of the improved vaginal douche method and individual nursing intervention on colpitis patients＇ self- efficacy, compliance behavior and curative effect. Methods A total of 500 patients with colpitis were randomly divided into two groups： experiment group （n =250） and control group （n =250） . In the control group, vaginal suppository was adopted after the regular douching and the treatment course was 7 days. In the experiment group, the improved method of vaginal douching with ozone water was carried out with 5 days one course of treatment. Meanwhile, the systematic nursing intervention was put into effect with the application of Orem＇s self- care theory. The self-efficacy, compliance behavior and curative effect of the two groups were all compared and evaluated. Results The self- efficacy, compliance behavior and curative effect of the patients from the experiment group were increased dramatically （P 〈0. 01 ） . Conclusions The application of the improved vaginal douche method and individual nursing intervention to patients with colpitis not only can increase the patients＇self-efficacy and improve their compliance behavior, but also shorten the course of treatment and promote the curative effect.