“知信行”干预对慢性乙型肝炎患者不确定感、自我效能、自我健康管理的影响

Effects of"knowledge,belief and action"intervention on uncertainty,self-efficacy and self-health management in patients with chronic hepatitis B

目的探讨“知信行”干预对慢性乙型肝炎患者不确定感、自我效能、自我健康管理的影响。方法选择2020年1—8月在我院诊断治疗的慢性乙型肝炎患者60例为研究对象,随机数字表法分为干预组30例与对照组30例。对照组实施常规健康教育干预,干预组采用“知信行”干预。比较两组入院时、出院时疾病不确定感、自我效能、自我健康管理、对慢性乙型肝炎相关知识掌握情况以及干预满意度。结果①出院时,两组疾病不确定感评分较入组时低,并且干预组较对照组低,差异有统计学意义(P<0.05)。②出院时,两组自我效能评分较入组时高,并且干预组较对照组高(P<0.05)。③两组出院时自我管理水平较入组时高,并且干预组较对照组高(P<0.05)。④出院时,两组在疾病基本知识、预防知识、治疗知识得分以及总分均较入组时高,并且干预组较对照组高(P<0.05)。⑤干预组总体满意度要高于对照组,差异有统计学意义(P<0.05)。结论“知信行”干预可改善乙型病毒性肝炎患者对慢性乙型肝炎相关知识的掌握情况,减轻疾病不确定感,提高自我效能、自我管理水平。

Objective To explore the effects of"knowledge,belief and action"intervention on the uncertainty,self-efficacy and self-health management of patients with chronic hepatitis B.Methods A total of 60 patients with chronic hepatitis B who were diagnosed and treated in our hospital from January to August 2020 were selected as the research subjects,and they were divided into 30 cases in the intervention group and 30 cases in the control group by the random number table.The control group was given routine health education interventions,and the intervention group was given"knowledge,belief and action"intervention.Illness uncertainty,self-efficacy,self-health management level,knowledge of chronic hepatitis B,and intervention satisfaction were compared between the two groups upon admission and at discharge.Results①At discharge,the illness uncertainty scores in the two groups were lower than those upon admission,and the intervention group was lower than the control group,with significant differences(P<0.05).②At discharge,the self-efficacy scores in the two groups were higher than those upon admission,and the intervention group was higher than the control group(P<0.05).③At discharge,the self-management level in the two groups was higher than those upon admission,and the intervention group was higher than the control group(P<0.05).④At discharge,the scores of basic disease knowledge,prevention knowledge,treatment knowledge and total scores in the two groups were higher than those upon admission,and the intervention group was higher than the control group(P<0.05).⑤The overall satisfaction in the intervention group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion"Knowledge,belief and action"intervention can now improve the knowledge of chronic hepatitis B in the patients with viral hepatitis B,reduce illness uncertainty,and improve self-efficacy and self-management level.