自我效能提升干预对胆囊结石患者术后行为、饮食习惯及1年复发率的影响

Effect of Self-efficacy Intervention on the Postoperative Behavior,Diet,and Relapse within One Year in Patients with Gallstone

目的:研究自我效能提升干预对胆囊结石患者术后行为、饮食习惯及1年复发率的影响。方法选取我院2014年5月~2015年5月胆囊结石患者78例,抽签随机分为观察组与对照组两组,每组39例,给予对照组患者常规护理干预,观察组患者在对照组基础上联合提高自我效能的干预措施,比较两组患者行保胆取石术术后行为、饮食习惯以及随访1年期间复发率情况。结果观察组患者干预后一般自我效能评分较对照组显著较高(P<0.05);观察组患者定期复查、遵医用药、合理饮食、合理休息、合理锻炼、预防感染、戒烟戒酒等日常行为管理方面水平较对照组显著较高(P<0.05);观察组患者1年复发率为5.13%较对照组20.51%显著较低(P<0.05)。结论自我效能提升干预能有效提高胆囊结石患者术后自我行为管理水平,患者术后生活更健康、规律,结石复发率大大降低,值得临床应用推广。

Objective:To investigate the effect of self-efficacy intervention on the postoperative behavior,diet,and relapse within one year in patients with gallstone.Methods:Totally,78patients with gallstone were admitted and treated in the First People’s Hospital of Zhum adian from May2014to May2015.They were randomly divided into test group and control group with39patients in each group.All patients weretreated with routine nursing intervention,while patients in test group were treated with self-efficacy intervention additionally.The postoperative behavior,diet,and relapse within one year were compared in two groups.Results:After intervention,the self-efficacy score in test group was significant higher than that in test group.The daily behavior in test group was significantly improved than that in control group,such as regularly follow-up and medication,sensibly diet and exercise,sufficiently sleep,prevention of infection,elimination of tobacco and alcohol.The relapse rate in test group(5.13%)was significant lower than that in control group(20.51%)(P<0.05).Conclusions:The intervention of self-efficacy can improve the level of self-managing behavior effectively for patients with gallstone,and they can live healthier,rhythmically and less relapse,worthy of application.