时效性激励模式下的延伸护理在老年慢性萎缩性胃炎癌前病变患者中的应用效果

Effectiveness of extended care in a timely incentive model in elderly patients with chronic atrophic gastritis with precancerous lesions

目的探讨时效性激励模式下的延伸护理在老年慢性萎缩性胃炎癌前病变患者中的应用效果。方法选取该院2020年7月至2022年7月收治的老年慢性萎缩性胃炎癌前病变患者100例作为研究对象,按照随机数字表法将其分成观察组与常规组,每组50例。常规组采用常规延伸护理,观察组在常规组的基础上采用时效性激励模式下的延伸护理,两组均持续干预3个月。对比两组遵医行为、护理满意度[采用纽卡斯尔护理服务满意度量表(NSNS)评分进行评估],比较两组干预前后自我效能感[采用一般自我效能感量表(GSES)评分进行评估]、应对方式[采用简易应对方式量表(SCSQ)评分进行评估]、健康行为[采用健康促进生活方式量表(HPLP-Ⅱ)评分进行评估]、自我管理能力[采用成年人健康自我管理能力测评表(AHSMSRS)评分进行评估]及生活质量[采用慢性病患者生命质量测定量表体系-慢性胃炎(QLICD-CG)评分进行评估]情况。结果观察组遵医率(98.00%)和护理满意度(100.00%)均高于常规组(84.00%、88.00%),差异均有统计学意义(P<0.05)。干预后,观察组GSES、HPLP-Ⅱ、AHSMSRS、QLICD-CG评分均高于常规组(P<0.05)。与常规组相比,干预后观察组积极应对评分升高,而消极应对评分降低,差异均有统计学意义(P<0.05)。结论时效性激励模式下的延伸护理可提高老年慢性萎缩性胃炎癌前病变患者自我效能感,增强其自我管理能力及遵医行为,提高患者生活质量水平及护理满意度。

Objective To explore the application effect of extended care under the timely incentive model in elderly patients with chronic atrophic gastritis with precancerous lesions.Methods A total of 120 patients with chronic atrophic gastritis with precancerous lesions admitted to the hospital from June 2022 to June 2023 were selected and divided into observation group and routine group according to random number table method,with 50 cases in each group.The routine group received routine postoperative nursing measures,while the observation group was treated with extended care under the timely incentive model on the basis of the routine group,and the intervention lasted for 3 months in both groups.The compliance behavior,nursing satisfaction[assessed by the Newcastle Scale of Nursing Service Satisfaction(NSNS)scores],self-efficacy[assessed by the General Self-Efficacy Scale(GSES)scores],coping styles[assessed by the Simple Coping Styles Scale(SCSQ)scores],health behaviors[assessed by the Health Promoting Lifestyles Scale(HPLP II)scores],self-management ability[assessed by the Adult Health Self-Management Skills Rating Scale(AHSMSRS)scores],and quality of life[assessed by the Quality of Life Inventory System for Chronic Disease Patients-Chronic Gastritis(QLICD-CG)scores]before and after intervention were compared between the two groups.Results The rates of treatment compliance and nursing satisfaction in the observation group(98.00%,100.00%)were higher those in the routine group(84.00%,88.00%)with statistically significant differences(P<0.05).After intervention,the scores of GSES,HPLP-Ⅱ,AHSMSRS,QLICD-CG in the observation group were higher than those in the routine group(P<0.05).After intervention,the positive coping score in the convention group was higher than that in the routine group,while the negative coping score was lower than that in the routine group,and the differences were statistically significant(P<0.05).Conclusion Extended care in a timely incentive model can promote self-efficacy of elderly patients with chronic atrophic gastritis with precancerous lesions,increase self-management ability and compliance behavior,improve quality of life and nursing satisfaction.