基于自我效能理论的护理干预在永久性肠造口患者中的应用价值

The Value of Nursing Intervention Based on Self-efficacy Theory Applied in the Patients Undergoing Permanent Bowel-neostomy

为探讨基于自我效能理论的护理干预在永久性肠造口患者中的应用价值,将2019年1月至2020年2月我院收治的80例结直肠癌术后永久性肠造口者随机分为观察组和对照组,各40例。对照组予以常规护理干预,观察组在常规护理干预基础上予以基于自我效能理论的护理干预,比较2组患者的自我护理能力和自我防御能力。结果显示,1)自我护理能力:2组患者干预前自我概念、自护责任、健康知识水平和自护技能评分比较差异均无统计学意义,P>0.05;干预后3个月,2组各指标评分均明显升高,P<0.05,但观察组升高更明显,组间比较,观察组患者各指标评分均明显高于对照组,P<0.05。2)自我防御能力:2组患者干预前成熟型、不成熟型、中间型、掩饰因子评分比较差异均无统计学意义,P>0.05。干预后3个月,观察组患者不成熟型和掩饰因子评分均低于对照组,P<0.05;2组患者中间型评分比较差异无统计学意义,P>0.05;观察组患者成熟型评分明显高于对照组,P<0.05。结果表明,基于自我效能理论的护理干预可以帮助永久性肠造口患者提高自我护理能力及自我防御能力,值得临床推广应用。

This study was to probe into application value of nursing intervention based on the theory of self-efficacy in the patients undergoing permanent bowel neostomy in authors’ hospital from 2019-01 to 2020-02 into control group(40 cases,received routine nursing intervention)and observation group[40 cases,received above nursing intervention based on self-efficacy(NISE)];then,compared both groups’ patients’ self-care agency and self-defence ability.As results,1)self-care agency:before intervention,beween both groups the patients’ score on self-conception,self-care responsitility,level on healthy knowledge,and self-care skill all had statistical difference(P >0.05);after 3 months of intervention both groups’ above every score ratings were significantly increased(P<0.05),but observation group had more significantly higher than control group(P<0.05).2)self-defence agency:before intervention both groups’ patients’ score ratings on mature-type,middle-type,inmature-type,and conceal factors had no statistical difference(P >0.05),but after 3 months of intervention the score ratings on inmature-type and conceal factors in observation group were lower than that in control group(P<0.05),in the score ratings on mature-type observation group was significantly higher than control group(P<0.05),only in the score ratings on conceal factors there was no significant difference between the two groups(P >0.05).Results show that NISE could be helpful to enhance patients’ self-care agency and self-defence agency,thus it is worthy to be popularized to use clincally.