循证护理干预对慢性乙型肝炎患者自我效能感的影响

Influence of evidence-based nursing interventions on self-efficacy of patients with chronic hepatitis B

目的探讨循证护理干预对慢性乙型肝炎(CHB)患者自我效能感的影响。方法选取2014年4月—2015年4月收治的CHB患者72例为对照组,选取2015年5月—2016年5月收治的CHB患者75例为观察组。治疗期间,对照组实施常规护理,观察组实施循证护理干预。观察实施干预前和干预后2组一般自我效能感量表(GSES)评分变化。结果实施干预3周后,2组GSES评分均较干预前增加(P<0.01),且实施干预3周后和出院后6个月时观察组GSES评分高于对照组(P<0.01)。结论循证护理干预能有效提高CHB患者对疾病的认知及自我护理方法,缓解负性情绪,有助于自我效能感的提高。

Objective To explore the influence of evidence-based nursing interventions on self-efficacy of patients with chronic hepatitis B（CHB）.Methods Totally 72 CHB patients with hospital admission between April,2014 and April,2015 were set as the control group,another 75 CHB patients with hospital admission between May,2015 and May,2016 were included as the observation group.The control group was given routine nursing and the observation group was treated with evidence-based nursing during antiviral treatment.General self efficacy scale（GSES）was used to investigate the self efficacy of patients before and after nursing intervention.Results The GSES score was increased in both two group at three weeks after intervention（P〈0.01）.Patients in the observation group had a higher GSES score at three weeks after intervention and 6 months after discharge compared with those in the control group（P〈0.01）.Conclusion Evidence-based nursing intervention could effectively promote the self-cognition and self-care ability of CHB patients with CHB.