协同护理模式对慢性乙型病毒性肝炎患者疾病态度及自我效能的影响

Effect of Cooperative Nursing Model on Disease Attitude and Self-efficacy of Patients with Chronic Hepatitis B

目的浅析协同护理模式对慢性乙型病毒性肝炎患者疾病态度及自我效能的影响。方法采用随机数表法将该院于2018年1月—2020年3月间收治的93例慢性乙型病毒性肝炎患者划分为两组,对照组(n=47)采取常规护理,观察组(n=46)采取协同护理干预,比较不同护理模式的干预效果。结果干预前观察组患者面对态度评分(20.01±2.91)分、回避态度评分(16.39±2.40)分、放弃态度评分(9.54±1.29)分;对照组患者面对态度评分(19.40±3.04)分、回避态度评分(17.03±3.27)分、放弃态度评分(10.10±2.01)分,两组结果比较差异无统计学意义(P>0.05)。干预后观察组患者面对态度评分(29.30±4.49)分,高于对照组(23.59±3.20)分,观察组回避态度评分(9.20±3.00)分、放弃态度评分(5.30±1.03)分,均低于对照组(13.29±2.20)分、(7.40±1.23)分,差异有统计学意义(P<0.05)。干预后观察组患者自我效能评分(34.07±1.50)分,高于对照组(26.30±2.12)分,差异有统计学意义(t=20.364,P<0.05)。观察组患者自我护理概念、自我护理技能、自我护理知识、自我护理责任感评分均高于对照组,差异有统计学意义(t=13.646、14.590、17.283、18.566,P<0.05)。结论慢性乙型病毒性肝炎患者应用协同护理模式可有效提高患者自我效能感与自我护理能力,树立正确的疾病态度。

Objective To analyze the effect of collaborative nursing mode on disease attitude and self-efficacy of patients with chronic hepatitis B.Methods A random number table was used to divide 93 patients with chronic hepatitis B who were admitted to this unit from January 2018 to March 2020 into two groups,the control group(n=47)took conventional nursing care,the observation group(n=46)took coordinated nursing intervention,and the intervention effects of different nursing models were compared.Results Before the intervention,patients in the observation group had a score of(20.01±2.91)points,a score of(16.39±2.40)points,a score of abandonment attitude(9.54±1.29)points;the control group had a score of(19.40±3.04)points,avoidance attitude score(17.03±3.27)points,and abandon attitude score(10.10±2.01)points;the results of the two groups were not statistically significant(P>0.05).After the intervention,the observation group had a face attitude score of(29.30±4.49)points,which was higher than the control group(23.59±3.20)points.The observation group had a avoidance attitude score of(9.20±3.00)points and a give up attitude score(5.30±1.03)points,both were lower than the control group(13.29±2.20)points,(7.40±1.23)points,and the difference was statistically significant(P<0.05).After the intervention,the self-efficacy score of the observation group was(34.07±1.50)points,which was higher than the control group(26.30±2.12)points,and the difference was statistically significant(t=20.364,P<0.05).The scores of self-care concept,self-care skills,self-care knowledge,and self-care responsibility of the observation group were higher than those of the control group,and the difference was statistically significant(t=13.646,14.590,17.283,18.566,P<0.05).Conclusion The application of collaborative nursing model for patients with chronic viral hepatitis B can effectively improve the self-efficacy and self-care ability of patients,and establish a correct attitude towards disease.