行为分阶段转变理论在系统性红斑狼疮患者疲劳非药物管理中的应用

Application of Transtheoretical Model and stages of change on non-pharmaceutical fatigue mangement among Systemic Lupus Erythematosus patients

目的 :评价基于行为分阶段转变理论的护理干预在系统性红斑狼疮患者疲劳非药物管理中的作用。方法 :采用抽签法,将95例系统性红斑狼疮患者随机分为实验组(49例)、对照组(46例)。对照组患者采用常规护理干预,实验组根据其所处的行为阶段给予相应的干预措施。结果 :干预3个月后,实验组患者疲劳总分为(6.19±1.96)分,躯体疲劳评分为(3.24±1.31)分,自我效能评分为(3.31±1.34)分;无患者处于无意图期,5例处于意图期,8例处于准备期,27例处于行动期,9例处于维持期,与对照组相比,差异有统计学意义(P<0.05)。结论 :基于行为分阶段转变理论的护理干预可改善系统性红斑狼疮患者疲劳状况,提高其自我效能。

Objective： To investigate the effects of the nursing interventions based on Transtheoretical Model and stages of change on non-pharmaceutical fatigue mangement among Systemic Lupus Erythematosus patients. Methods： 95 cases of Systemic Lupus Erythematosus patients were randomly divided into study group（49 cases） and control group（46 cases）. Patients in the control group were treated with routine nursing intervention, and the patients in study group received nursing interventions according to the stages of fatigue management. Results： After 3 months of intervention, the scores of fatigue, physical fatigue, self efficacy among patients in the intervention group was（6.19±1.96）,（3.24±1.31）, and（3.31±1.34）, respectively.None was in the precontemplation stage. Five patients were in the contemplation stage. Eight patients were in the preparation stage. Twenty-seven patients were in the action stage. Nine patients were in the maintenance stage. The difference has statistical significance compared with the control group（P〈0.05）. Conclusion： The nursing interventions based on Transtheoretical Model and stages of change could improve Systemic Lupus Erythematosus patients＇ fatigue and self efficacy level.