行为分阶段转变理论护理在系统性红斑狼疮患者中的应用效果

Application effects of transtheoretical model and stages of change nursing in patients with systemic lupus erythematosus

目的:观察行为分阶段转变理论护理在系统性红斑狼疮(SLE)患者中的应用效果。方法:选取2020年8月至2022年8月该院收治的78例SLE患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各39例。对照组采用常规健康教育,观察组在对照组基础上采用行为分阶段转变理论护理。比较两组干预前后疲劳量表-14(FS-14)评分、一般自我效能感量表(GSES)评分、SLE自护能力量表评分、医学应对问卷(MCMQ)评分。结果:干预后,两组躯体、脑力疲劳等各项FS-14评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组GSES评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组健康管理概念、疾病护理技能、疾病知识、自护责任感各项自护能力评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);两组面对评分均高于干预前,且观察组高于对照组,两组屈服、回避评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:在常规健康教育基础上采用行为分阶段转变理论护理可提高SLE患者自我效能评分和自护能力评分,改善医学应对评分,以及降低疲劳等级评分的效果优于单纯常规健康教育效果。

Objective:To observe application effects of transtheoretical model and stages of change nursing in patients with systemic lupus erythematosus(SLE).Methods:A prospective study was conducted on 78 patients with SLE admitted to the hospital from August 2020 to August 2022.According to the random number table method,they were divided into control group and observation group,39 cases in each group.The control group was treated with routine health education,while the observation group was treated with the transtheoretical model and stages of change nursing on the basis of that of the control group.The fatigue scale-14(FS-14)score,the general self-efficacy scale(GSES)score,the SLE self-care ability scale score,and the medical coping mode questionnaire(MCMQ)score were compared between the two groups before and after the intervention.Results:After the intervention,the FS-14 scores of physical and mental fatigue in the two groups were lower than those before the intervention,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the GSES scores of the two groups were higher than those before the intervention,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of self-care ability of health management concept,disease nursing skills,disease knowledge and self-care responsibility in the two groups were higher than those before the intervention,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,after the intervention,the scores of facing in the two groups were higher than those before the intervention,and that in the observation group was higher than that in the control group;the scores of yield and avoidance in the two groups were lower than those before the intervention,and those in the observation group were lower than those in the control group;and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine health education,the transtheoretical model and stages of change nursing can improve the self-efficacy scores and the self-care ability scores of the SLE patients,improve the medical coping scores,and reduce the fatigue grade scores.Moreover,it is superior to simple routine health education.