健康信念模型在断指再植术患者自我管理中的运用

Application of health belief model in self-management of patients undergoing replantation of severed fingers

目的 探讨健康信念模型(HBM)在断指再植术患者自我管理中的运用价值.方法 选取2018年7月~2019年6月在我院断指再植术的120例患者,通过随机数字表法分为对照组和观察组,每组各60例.对照组实施常规治疗和常规护理,观察组在对照组基础上实施基于HBM护理干预策略,比较两组干预前后健康信念评分、自我护理能力(ESCA)评分、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、生活质量评分及患指功能恢复情况.结果 干预前,两组健康信念、ESCA、生活质量、SAS、SDS评分比较,差异无统计学意义(P>0.05);干预后,观察组健康信念、ESCA、生活质量评分及患指功能恢复优良率高于对照组,SAS和SDS评分低于对照组,差异均有统计学意义(P<0.05).结论 对断指再植术患者实施基于HBM护理干预可促进提高患者健康信念、自我护理能力,改善患者负面心理情绪,促进患指功能恢复,提高患者的生活质量.

Objective To explore the application value of health belief mode(HBM)in patients′self-management after replantation of severed fingers.Methods A total of 120 cases of replantation of severed fingers in our hospital from July 2018 to June 2019 were selected,they were divided into control group and observation group by the random number table method,60 cases in each group.The control group was given routine treatment and nursing,and the observation group was given HBM based nursing intervention strategy on the basis of the control group.The health belief score,self-care ability score,the exercise of self-care agency(ESCA),self-rating anxiety scale(SAS),self-rating depression scale(SDS),quality of life score and the recovery of finger function of the two groups were compared before and after the intervention.Results Before intervention,there were no significant differences in the scores of health belief,quality of life,ESCA,SAS and SDS between the two groups(P>0.05).After intervention,the patients′health belief score,ESCA,quality of life and the excellent and good rate of finger function recovery in the observation group were higher than those in the control group,and the SAS and SDS scores were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion The nursing intervention strategy based on HBM can improve the patients′health belief and self-care ability,improve the patients′negative psychological mood,promote the recovery of patients′finger function,and improve the patients′quality of life.