认知-信念-行为导向性干预模式对脑动脉瘤患者术后服药依从性及自我管理的影响

Effect of cognitive belief behavior oriented intervention model on medication compliance and self-management of patients with cerebral aneurysm after operation

目的探讨认知-信念-行为导向性干预模式对脑动脉瘤患者术后服药依从性及自我管理的影响。方法选取2018年1~12月上海市东方医院收治的30例脑动脉瘤术患者为对照组,采用常规护理。选取2019年1~12月上海市东方医院收治的30例脑动脉瘤术患者为观察组,在常规护理的基础上采用认知-信念-行为导向性干预模式,出院后共干预3个月。比较两组术后的服药依从性及自我管理水平。结果观察组出院后3个月的服药总依从性好于对照组,差异有统计学意义(P<0.05)。观察组出院3个月后的自我管理能力,如症状管理、情绪管理、日常生活管理评分高于对照组差异有统计学意义(P<0.05)。结论认知-信念-行为导向性干预模式能提高脑动脉瘤患者术后的服药依从性,增强自我管理能力。

Objective To explore the effect of cognitive belief behavior oriented intervention model on medication compliance and self-management of patients with cerebral aneurysm after operation.Methods A total of 30 patients with cerebral aneurysms treated in Shanghai Oriental Hospital from January to December 2018 were selected as the control group,and routine nursing was adopted.A total of 30 patients with cerebral aneurysms treated in Shanghai Oriental Hospital from January to December 2019 were selected as the observation group.On the basis of routine nursing,the patients were given cognitive belief behavior oriented intervention mode.The intervention lasted for 3 months after discharge.The medication compliance and self-management level of the two groups were compared.Results The medication compliance of the observation group was better than that of the control group 3 months after discharge,and the difference was statistically significant(P<0.05).The scores of self-management ability of the observation group were better than those of the control group 3 months after discharge,such as symptom management,emotion management and daily life management,and the differences were statistically significant(P<0.05).Conclusion The cognitive belief behavior oriented intervention model can improve the medication compliance and self-management ability of patients with cerebral aneurysm after operation.