聚焦解决模式在慢性乙型肝炎患者护理中的应用

Application of Focused Solution Model in the Nursing of Patients with Chronic Hepatitis B

目的探讨聚焦解决模式(FST)在慢性乙型肝炎(CHB)患者护理中效果,以此为临床护理工作提供指导。方法选择2017年4月-2019年4月该院门诊收治的80例CHB患者作为研究对象,采用随机数表法分为两组,各40例。对照组施行常规护理措施,实验组在对照组基础上采用FST进行干预。两组均连续干预1个月。比较两组疾病认知度、自护能力[自我护理能力测定量表(ESCA)]及治疗依从性。结果干预1个月后,实验组疾病认知度评分(79.54±5.56)分、ESCA各维度评分[护理技能(35.19±3.25)分、自我概念(22.62±2.19)分、自我责任感(21.68±1.67)分、健康知识(42.11±2.64)分]均高于对照组(72.05±5.42)分、(30.77±3.10)分、(18.66±2.07)分、(19.73±1.28)分、(38.51±2.52)分,差异有统计学意义(t=6.093、6.224、8.311、5.861、6.239,P<0.001);干预期间实验组治疗依从性(92.50%)高于对照组(75.00%),差异有统计学意义(χ^2=4.501,P=0.034)。结论在CHB患者护理中运用FST干预可提高患者的疾病认知度,加强患者自护能力,提高治疗依从性,值得临床推广。

Objective To explore the effect of Focused Solution(FST)in the care of patients with chronic hepatitis B(CHB),so as to provide guidance for clinical nursing work.Methods A total of 80 CHB patients admitted to the hospital from April 2017 to April 2019 were selected as the research objects,and were divided into two groups by random number table method,with 40 cases in each group.The control group received routine nursing measures,and the experimental group used FST for intervention on the basis of the control group.Both groups intervened continuously for 1 month.Comparing the two groups'disease awareness,self-care ability[self-care ability measurement scale(ESCA)]and treatment compliance.Results After 1 month of intervention,the experimental group’s disease awareness score(79.54±5.56)points,ESCA scores in various dimensions[nursing skills(35.19±3.25)points,self-concept(22.62±2.19)points,self-responsibility(21.68±1.67)points,health knowledge(42.11±2.64)points]were higher than the control group(72.05±5.42)points,(30.77±3.10)points,(18.66±2.07)points,(19.73±1.28)points,(38.51±2.52)points,the difference was statistically significant(t=6.093,6.224,8.311,5.861,6.239,P<0.001);during the intervention period,the treatment compliance of the experimental group(92.50%)was higher than that of the control group(75.00%),and the difference was statistically significant(χ^2=4.501,P=0.034).Conclusion The use of FST intervention in the care of CHB patients can improve patients'disease awareness,strengthen patients'self-care ability,and improve treatment compliance.It is worthy of clinical promotion.