目标导向式健康威胁行为扭转延续护理干预在老年慢性萎缩性胃炎癌前病变患者中的应用

Application value of continuous nursing intervention of goal-oriented health-threatening behavior reversal in the precancerous lesions of elderly chronic atrophic gastritis

目的分析目标导向式健康威胁行为扭转延续护理干预在老年慢性萎缩性胃炎癌前病变患者中的应用效果。方法回顾性分析2018年1月至2019年12月河南省人民医院消化内科收治的106例慢性萎缩性胃炎癌前病变患者的临床资料,根据患者护理干预模式不同分为常规组(常规护理干预)49例和观察组(目标导向式健康威胁行为扭转延续护理干预)57例,所有患者干预时间为3个月。干预前后采用焦虑自评量表(ASA)、抑郁自评量表(SDS)评价两组患者的焦虑/抑郁情况,比较两组患者干预前后的健康知识掌握情况和慢性病患者生命质量测定量表体系(QLICD)-慢性胃炎(CG)量表(QLICD-CG)评分,同时比较两组患者的遵循医嘱达标率和对护理的满意度。结果干预后两组患者的SAS、SDS评分均显下降趋势,而观察组患者干预后的SAS和SDS评分分别为(25.64±4.11)分、(31.21±3.55)分,明显低于常规组的(38.54±4.10)分、(44.51±3.20)分,差异均有统计学意义(P<0.05);观察组患者干预后的合理用药、疾病诱因/预防、饮食健康等评分明显高于常规组,差异均有统计学意义(P<0.05);观察组患者干预后QLICD-CG量表4个项目评分及总分明显高于常规组,差异均有统计学意义(P<0.05);观察组患者的定时定量用药、自我护理、定期复查、治疗配合的达标率明显高于常规组,差异均有统计学意义(P<0.05);观察组患者干预后的护理满意度得分为(88.71±4.37)分,明显高于常规组的(61.21±4.20)分,差异有统计学意义(P<0.05)。结论目标导向式健康威胁行为扭转延续护理干预在老年慢性萎缩性胃炎癌前病变患者中的应用,能促进患者自我管理能力,缓解不良情绪,提高治疗依从性。

Objective To analyze the application value of continuous nursing intervention of goal-oriented health-threatening behavior reversal in the precancerous lesions of elderly chronic atrophic gastritis.Methods The data of 106 patients with precancerous lesions of chronic atrophic gastritis admitted in Henan Provincial People's Hospital from January 2018 to December 2019 were retrospectively collected.According to the different nursing intervention modes of patients,they were divided into in the conventional group(treated by conventional nursing intervention,49 cases)and the observation group(treated by continuous nursing intervention of goal-oriented health-threatening behavior reversal,57 cases).The intervention lasted three months.Three months after intervention,self-rated Anxiety Scale(ASA)and Self-rated Depression Scale(SDS)were used to evaluate anxiety/depression status.Nursing satisfaction,health knowledge mastery,Quality of Life Instruments for chronic diseases-Chronic Gastritis(QLICD-CG)score,and compliance rate were compared between the two groups.Results After the intervention,the SAS and SDS scores of the two groups showed a downward trend,while the SAS and SDS scores of the observation group after intervention were(25.64±4.11)points and(31.21±3.55)points,which were significantly lower than(38.54±4.10)points and(44.51±3.20)points of the conventional group(P<0.05).The scores of rational drug use,disease inducement/prevention,and dietary health of the observation group after intervention were significantly higher than those of the conventional group(P<0.05).The four items of the QLICD-CG scale scores and total scores of the observation group were significantly higher than those of the conventional group after intervention,and the differences were statistically significant(P<0.05).The compliance rate of regular and quantitative medication,self-care,regular review,and treatment cooperation were significantly higher than those of the conventional group,and the differences were statistically significant(P<0.05).The nursing satisfaction score of the observation group after intervention was(88.71±4.37)points,which was significantly higher than(61.21±4.20)points of the conventional group(P<0.05).Conclusion Continuous nursing intervention of goal-oriented health-threatening behavior reversal has a high value in the precancerous lesions of elderly chronic atrophic gastritis,which promotes patients'self-management ability,relieves patients'bad mood,and improves treatment compliance.