基于保护动机理论的延续性护理对肝硬化患者遵医行为及负性情绪的影响

The influence of continuing care on compliance behavior and negative emot ion of patients with cirrhosis based on protective motivation theory

目的:分析对肝硬化患者进行基于保护动机理论的延续性护理对其遵医行为及负性情绪的影响。方法:选取2018年7月至2018年10月从右江民族医学院附属医院消化内科、感染性疾病科住院病房出院的肝硬化失代偿期患者80例,将其随机分为对照组(n=40)与观察组(n=40)。对对照组患者进行常规延续性护理,在此基础上对观察组患者进行基于保护动机理论的延续性护理。然后对比两组患者的遵医行为及负性情绪。结果:接受护理后,观察组患者的HAMA评分、HAMD评分均低于对照组患者,其对医嘱的遵从率及其中肝功能显著改善患者的占比均高于对照组患者,差异有统计学意义(P<0.05)。结论:对肝硬化患者进行基于保护动机理论的延续性护理能显著改善其遵医行为,稳定其心境,缓解其负性情绪。

Objective:To analyze the influence of continuing care based on protective motivation theory on compliance behavior and negative emotions of patients with cirrhosis.Methods:A total of 80 patients with decompensated cirrhosis who were discharged from the inpatient wards of the Department of Gastroenterology and infectious Diseases,Affiliated Hospital of Youjiang Medical College for Nationalities from July 2018 to October 2018 were selected and randomly divided into control group(n=40)and observation group(n=40).Patients in the control group were given routine continuity care,and patients in the observation group were given continuity care based on the theory of protection motivation.Then the compliance behavior and negative emotions of the two groups were compared.Results:After receiving nursing care,HAMA score and HAMD score of patients in the observation group were lower than those in the control group,and the proportion of patients with significantly improved liver function and compliance rate of medical orders were higher than those in the control group,the difference was statistically significant(P<0.05).Conclusion:Continuous care for patients with cirrhosis based on protective motivation theory can significantly improve their compliance behavior,stabilize their mood,relieve their negative emotions.