循证护理干预模式对慢性肾炎患者自我效能及遵医行为的影响

Effect of evidence-based nursing intervention mode on self-efficacy and compliance behavior of patients with chronic nephritis

目的探讨循证护理干预模式对慢性肾炎患者自我效能及遵医行为的影响。方法选择2017年4月—2019年4月我院收治的慢性肾炎患者74例,按随机数字表法分为2组,各37例。对照组采取常规护理,观察组实施循证护理干预,比较2组干预前和干预3个月后自我效能(GSES)和遵医行为评分。结果观察组干预后GSES评分为(34.82±8.83)分,高于对照组的(27.34±8.92)分,差异有统计学意义(P<0.05);观察组按医嘱服药、限盐、不滥用药、不擅自停药等评分为(3.87±0.72)分、(3.76±0.80)分、(3.89±0.91)分、(3.74±0.46)分,均高于对照组的(3.29±0.67)分、(2.53±0.82)分、(2.43±0.58)分、(2.73±0.82)分,差异有统计学意义(P<0.05)。结论循证护理干预能够显著提高慢性肾炎患者的自我效能,改善遵医行为,具有推广价值。

Objective To investigate the effect of evidence-based nursing intervention model on self-efficacy and compliance behavior of patients with chronic nephritis. Methods A total of 74 patients with chronic nephritis admitted to our hospital from April 2017 to April 2019 were enrolled in the study. The patients were divided into two groups according to the random number table, 37 cases each. The control group received routine care, and the observation group performed evidence-based nursing intervention. The self-efficacy(GSES)and compliance behavior scores ofthe two groups before and 3 months after intervention were compared. Results The GSES score of the observation group was(34.82±8.83), which was higher than that of the control group(27.34±8.92), the difference was statistically significant(P<0.05). The observation group took the medicine according to the doctor’s advice, limited salt, and no drug abuse. The scores of(3.87±0.71),(3.76±0.80), and(3.74±0.46)were higher than those of the control group(3.29±0.67), (2.43±0.58)points,(2.53±0.82)points,(2.73±0.82)points, the difference was statistically significant(P<0.05). Conclusion Evidence-based nursing intervention can improve the self-efficacy of patients with chronic nephritis and improve the compliance behavior ofpatients.