摘要
目的探究以治疗性沟通为主的院外延伸性护理应用于慢性丙型肝炎患者对其负性情感以及自我效能感的影响。方法 2013年1月~2016年2月我院收治的82例慢性丙型肝炎患者,以随机数字表法分为观察组和对照组,每组41例。对对照组,采取传统护理照护模式,而在观察组则在对照组基础上引入以治疗性沟通为主的院外延伸性护理。两组患者于干预前及干预后第4周末,接受SF-36生存质量量表、自我效能问卷、焦虑自评量表(SAS)和抑郁自评量表(SDS)测评。结果在干预前,两组患者SF-36生存质量各维度评分经统计学比较,差异无明显意义(P>0.05);干预后4周,观察组患者生理功能、生理职能、躯体疾病、一般情况、精力、社会功能、情感功能和精神健康评分显著高于对照组,差异有统计学意义(P<0.05);观察组患者疾病基本知识、不良饮食危害性认知、治疗知识、自我管理知识和并发症预防知识评分显著高于对照组,差异有统计学意义(P<0.05);观察组患者SAS和SDS评分显著低于对照组,差异有统计学意义(P<0.05)。结论采取以治疗性沟通为主的院外延伸性护理模式应用于慢性丙型肝炎患者,可减轻其焦虑和抑郁情绪,且能提高自我效能感,具有重要的临床意义。
Objective To explore the effect of therapeutic communication of external extension nursing in patients with chronic hepatitis C on negative emotion and sense of self-efficacy. Methods Eighty-two patients with chronic hepatitis C were recruited in our hospital between January 2013 and February 2016. The patients were divided into observation group and control group with 41 in each. The traditional care model was given in the control,while the patients in the observation were given the extended care at the base of nursing in the control.The patients in the two groups accepted SF-36 quality of life scale,self efficacy questionnaire,self rating anxiety scale(SAS) and self rating depression scale(SDS) evaluation before and 4 weeks after intervention. R esults The SF-36 score of each dimension of quality of life in the two groups before the intervention were not significantly different(P>0.05);the physiological functions,physical disease,general situation,energy,social functions, emotional functions and mental health scores in the observation group at the end of 4 weeks were much higher than in the control group(P<0.05);the basic knowledge of disease,poor diet harmfulness cognition,treatment knowledge,self management knowledge and complication prevention knowledge scores were much higher than in the control group(P<0.05);the SAS scores and SDS scores in the two groups were statistically significantly different(P<0.05).C onclusion The application of extended nursing mode of therapeutic communication might relieve the anxiety and depression,and improve the self-efficacy in patients chronic hepatitis C.
作者
居朝霞
吴桂香
张波
Ju Chaoxia Wu Guixiang Zhang Bo.(Fifth People's Hospital, Wuxi 214005,Jiangsu Province)
出处
《实用肝脏病杂志》
CAS
2017年第6期701-704,共4页
Journal of Practical Hepatology
基金
无锡市科技发展医疗卫生指导性计划项目(编号:CSZON1414)
无锡市医院管理中心科研项目(编号:YGZXH14010)