基于Clark安适护理模式的护理干预对慢性肾病患者自我效能的影响

Effect of nursing intervention on self-efficacy of patients with chronic kidney disease under Clark＇ s wellness-nursing model

目的评价基于Clark安适护理模式的护理干预对慢性肾病患者自我效能的影响。方法在北京某三级甲等医院肾内科采用方便抽样的方法选取51例慢性肾病住院患者，按房间号的奇偶数随机分为干预组26例和对照组25例。干预组在Clark安适护理模式的指导下运用安适护理程序进行护理；对照组按照传统护理程序进行护理。入院初和出院时，在工作人员的指导下干预组和对照组患者填写一般自我效能感量表（GSES），比较两组患者得分结果。结果人院初，干预组和对照组的GSES得分分别为（2．73±0．67），（2．52±0．57）分，差异无统计学意义（f=1．249，P〉0．05）；干预后，干预组和对照组的GSES得分分别为（2．90±0．57），（2．52±0．55）分，差异有统计学意义（t=2．395，P〈0．05）。结论住院期间，基于Clark安适护理模式的护理干预可提高慢性‘肾病患者的自我效能。

Objective To evaluate the impact of Clark＇ s wellness-nursing model in improving self-efficacy of patient with chronic kidney disease. Methods Totals of 51 patients with chronic kidney disease were selected randomly by room number as the intervention group （26 cases） and the control group （25 cases）. Patients in the intervention group were cared under Clark＇ s wellness-nursing procedure, and meanwhile patients in the control group were cared under traditional nursing procedure. At the beginning of admission and after intervention, the staff under the guidance of the intervention group and control group patients fill in general self- efficacy scale （GSES）. Compared between the two groups patients self-efficacy score results. Results At the beginning of admission, the score of GSES of intervention group and controlled group respectively were （2.73 ± 0.67） and （2.52 ± 0.57 ）, and the difference was not significant （ t = 1. 249, P 〉 0.05 ）. After intervention, the score of GSES of intervention group and controlled group were （ 2.90 ± 0.57 ） and （ 2.52 ± 0.55 ） , the difference was significant （ t = 2. 395,P 〈 0.05 ）. Conclusions Nursing care based on Clark＇ s wellness-nursing model could improve self-efficacy of patients with chronic kidney disease.