Snyder希望理论在肝硬化腹水患者健康教育中的应用

Application of Snyder hope theory in health education of patients with cirrhosis ascites

目的探讨Snyder希望理论在肝硬化腹水患者健康教育中的应用效果。方法采用方便抽样法,选取2018年1月—2019年12月肝硬化腹水患者115例为研究对象,采用随机数字表法分为观察组56例和对照组59例。对照组在住院期间实施常规健康教育,观察组在此基础上,在患者住院期间实施基于Snyder希望理论的护理,患者出院后给予随访并继续实施基于Snyder希望理论的延续性护理,干预共8周。干预前后应用Herth希望量表(HHI)、心理弹性量表(CD-RISC)、健康调查简表(SF-36)对干预效果进行评价。结果干预后,观察组希望量表总分[(27.02±3.40)分]高于对照组[(25.17±4.15)分],差异有统计学意义(t=2.607,P=0.010)。观察组心理弹性量表总分[(62.95±11.24)分]高于对照组[(53.46±14.02)分],差异有统计学意义(t=3.992,P<0.001)。观察组SF-36量表情感职能[(72.92±7.61)分]、心理健康[(61.03±12.40)分]评分高于对照组[(68.20±9.14)、(53.08±11.29)分],差异有统计学意义(t=3.001,P=0.003;t=3.598,P<0.001)。结论基于Snyder希望理论对肝硬化腹水患者开展健康教育,有助于提高患者希望水平和心理弹性,帮助患者重拾治疗信心,提升生活质量,具有较高临床应用价值。

Objective To explore the application effect of Snyder hope theory in health education of patients with cirrhosis ascites.Methods By the convenient sampling method,a total of 115 patients with cirrhosis ascites who were admitted to the hospital from January 2018 and December 2019 were selected as research objects.According to the random number table method,they were divided into the observation group(n=56)and the control group(n=59).Patients in the control group were given routine health education during hospitalization.On this basis,patients in the observation group were given nursing based on Snyder hope theory during hospitalization and follow-up transitional nursing based on Snyder hope theory after discharged from the hospital.The intervention lasted for 8 weeks.Herth Hope Scale(HHI),Connor Davidson Resilience Scale(CD-RISC)and 36-item Short Form Health Survey(SF-36)were used to evaluate the intervention effect before and after the intervention.Results After intervention,the total score of HHI of the observation group was(27.02±3.40),higher than(25.17±4.15)of the control group,and the difference was statistically significant(t=2.607,P=0.010).The total score of CD-RISC of the observation group was(62.95±11.24),higher than(53.46±14.02)of the control group,and the difference was statistically significant(t=3.992,P<0.001).The emotional function score and mental health score in SF-36 of the observation group were respectively(72.92±7.61)and(61.03±12.40),higher than(68.20±9.14)and(53.08±11.29)of the control group,and the differences were statistically significant(t=3.001,P=0.003;t=3.598,P<0.001).Conclusions Health education based on Snyder hope theory for patients with cirrhosis ascites can help improve hope level and mental resilience of patients,help them regain confidence in treatment and improve their quality of life,which has high clinical application value.