自我管理为导向的5A护理对慢性盆腔炎患者心理应激反应及自护能力的影响

Effects of self-management oriented 5A nursing on psychological stress response and self-care ability of patients with chronic pelvic inflammatory disease

目的探讨自我管理为导向的5A护理对慢性盆腔炎患者心理应激反应及自护能力的影响。方法选择2017年2月至2019年2月我院收治的62例慢性盆腔炎患者为研究对象,采用随机数字表法将其分为对照组和观察组,各31例。对照组接受常规护理,观察组在对照组的基础上接受自我管理为导向的5A护理,比较两组干预前、后的心理应激反应、自护能力、健康知识掌握合格率及疾病复发率。结果干预后,两组的HAMD、HAMA评分均降低,且观察组低于对照组(P<0.05)。干预后,两组的自我概念、自我责任感、自护技能、健康知识水平评分均升高,且观察组高于对照组(P<0.05)。随访6个月后,观察组的健康知识掌握合格率为96.77%,疾病复发率为3.23%,与对照组的70.97%、19.35%比较,差异具有统计学意义(P<0.05)。结论自我管理为导向的5A护理可减轻慢性盆腔炎患者心理应激反应,提高其自护能力与健康知识掌握合格率,降低疾病复发率。

Objective To explore the effects of self-management oriented 5A nursing on psychological stress response and self-care ability of patients with chronic pelvic inflammatory disease.Methods Sixty two patients with chronic pelvic inflammatory disease treated in our hospital from February 2017 to February 2019 were selected as the research objects,and the patients were divided into control group and observation group by random number table method,with 31 cases in each group.The control group received routine nursing,and the observation group received self-management oriented 5A nursing on the basis of the control group.The psychological stress response,self-care ability,qualified rate of mastering health knowledge and disease recurrence rate before and after intervention were compared between the two groups.Results After intervention,the HAMD and HAMA scores in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).After intervention,the scores of self-concept,self-responsibility,self-care skills and health knowledge level in the two groups increased,and those in the observation group were higher than the control group(P<0.05).After 6 months of follow-up,the qualified rate of mastering health knowledge in the observation group was 96.77%,and the disease recurrence rate was 3.23%,which was statistically significant compared with 70.97%and 19.35%in the control group(P<0.05).Conclusion Self-management oriented 5A nursing can reduce the psychological stress response of patients with chronic pelvic inflammatory disease,improve their self-care ability and the qualified rate of mastering health knowledge,and reduce the disease recurrence rate.