基于健康信念的照护策略结合激励式心理疗法对Hp阳性胃炎患者疾病自我感受负担及自我管理的影响

Effects of health belief-based care strategy combined with incentive psychotherapy on disease self-perceived burden and self-management of patients with Hp positive gastritis

目的探究基于健康信念的照护策略结合激励式心理疗法对幽门螺杆菌(Hp)阳性胃炎患者疾病自我感受负担及自我管理的影响。方法选择2019年8月至2021年12月收治的80例Hp阳性胃炎患者作为研究对象,根据护理方案将其分为对照组、观察组,各40例。对照组接受激励式心理疗法,观察组在对照组基础上加施基于健康信念的照护策略。比较两组的干预效果。结果干预7 d后,观察组的自我感受负担量表(SPBS)各维度评分低于对照组(P<0.05)。干预7 d后,观察组的一般自我效能感量表(GSES)评分以及成人健康自我管理能力评分均高于对照组(P<0.05)。干预7 d后,观察组的胃泌素(GAS)、胃动素(MTL)水平高于对照组,血管活性肠肽(VIP)水平低于对照组(P<0.05)。结论基于健康信念的照护策略结合激励式心理疗法可缓解Hp阳性胃炎患者病自我感受负担,提高自我管理能力,促进胃功能恢复。

Objective To explore the effects of health belief-based care strategy combined with incentive psychotherapy on disease self-perceived burden and self-management of patients with Helicobacter pylori(Hp)positive gastritis.Methods A total of 80 patients with Hp positive gastritis admitted from August 2019 to December 2021 were selected as the research objects.According to the nursing plan,the patients were divided into control group and observation group,with 40 cases in each group.The control group received incentive psychotherapy,and the observation group received health belief-based care strategy on the basis of the control group.The intervention effects of the two groups were compared.Results After 7 d of intervention,the scores of each dimension of Self-Perceived Burden Scale(SPBS)in the observation group were lower than those in the control group(P<0.05).After 7 d of intervention,the General Self-Efficacy Scale(GSES)score and adult health self-management ability score of the observation group were higher than those of the control group(P<0.05).After 7 d of intervention,the levels of gastrin(GAS)and motilin(MTL)in the observation group were higher than those in the control group,and the level of vasoactive intestinal peptide(VIP)was lower than that in the control group(P<0.05).Conclusion The health belief-based care strategy combined with incentive psychotherapy can alleviate the disease self-perceived burden of patients with Hp positive gastritis,improve self-management ability and promote the recovery of gastric function.