基于自我调节理论的护理干预在乙型病毒肝炎患者中的应用

Effect of nursing intervention on self-care ability and mood state of patients with hepatitis B under the framework of self-regulation theory

目的探讨基于自我调节理论的护理干预对乙型病毒肝炎患者自我护理能力、心境状态的影响。方法采用便利抽样法,选取2021年7月—2023年6月郑州大学第一附属医院感染性疾病科收治的126例乙型病毒肝炎患者为研究对象,采用简单随机数字法将研究对象分为对照组(n=63)和干预组(n=63)。对照组采用常规护理干预,干预组在常规护理干预基础上实施基于自我调节理论的护理干预,干预时间为6个月。比较两组患者干预前后的自我护理能力、心境状态、定期复查率、服药依从率及护理满意度。结果干预6个月后,干预组自我护理能力实施量表得分、简式简明心境问卷精力维度得分均高于对照组(P<0.05);简式简明心境问卷的困惑、疲乏、愤怒、紧张、抑郁维度得分均低于对照组(P<0.05);干预组的定期复查率、服药依从率及护理满意度均高于对照组(P<0.05)。结论自我调节理论框架下的护理干预可提升乙型病毒肝炎患者的自我护理能力,改善心境状态,提高定期复查率、服药依从率及护理满意度。

ObjectiveTo explore the effect of nursing intervention based on self-regulation theory on the self-care ability and mood state of patients with hepatitis B.MethodsFrom July 2021 to June 2023,a total of 126 patients with hepatitis B in the Department of Infectious Diseases in the First Affiliated Hospital of Zhengzhou University were selected as the research objects by the convenient sampling method.They were divided into the control group(n=63)and the intervention group(n=63)using the simple random number method.The control group received routine nursing intervention,while the intervention group received nursing intervention based on self-regulation theory based on routine nursing intervention.The intervention period was six months.Self-care ability,mood state,regular follow-up rate,medication compliance rate,and nursing satisfaction before and after intervention were compared between the two groups.ResultsAfter six months of intervention,the score of the Exercise of Self-Care Agency Scale(ESCA)and the score of energy dimension in Profile of Mood states-short form(POMS-SF)in the intervention group were both higher than those in the control group(P<0.05),while scores of confusion,fatigue,anger,tension,and depression dimensions in POMS-SF were lower than those in the control group(P<0.05).The intervention group's regular follow-up rate,medication compliance rate,and nursing satisfaction were all higher than those of the control group(P<0.05).ConclusionsNursing intervention under the theoretical framework of self-regulation can improve the self-care ability of hepatitis B patients,their mood state,the regular follow-up rate,medication compliance rate,and nursing satisfaction.