基于保护动机理论的护理干预在炎症性肠病患者中的应用效果分析

Analysis of the Application Effect of Nursing Intervention Based on Protection Motivation Theory in Patients with Inflammatory Bowel Disease

目的探讨基于保护动机理论的护理干预在炎症性肠病患者中的应用效果。方法回顾性选取2022年1月—2024年1月南京大学医学院附属盐城第一医院收治的80例炎症性肠病患者的临床资料,根据不同干预方案分为两组,各40例。对照组行常规护理干预,研究组联合基于保护动机理论的护理干预,对比两组的心理状态、用药依从性、自我管理能力、生活质量。结果干预后,研究组焦虑和抑郁量表评分均低于对照组,差异有统计学意义(P均<0.05)。研究组用药依从性优良率为95%(38/40),高于对照组的80.00%(32/40),差异有统计学意义(χ2=4.114,P<0.05)。干预后,两组患者自我管理能力评分和生活质量评分均高于干预前,且研究组高于对照组,差异有统计学意义(P均<0.05)。结论对炎症性肠病患者实施基于保护动机理论的护理干预,可以提升患者的自我管理能力、用药依从性,改善不良情绪,提高生活质量。

Objective To explore the application effect of nursing intervention based on protection motivation theory in patients with inflammatory bowel disease.Methods The clinical data of 80 patients with inflammatory bowel disease admitted to Affiliated Yancheng First Hospital of Medical School of Nanjing University from January 2022 to January 2024 were retrospectively selected and divided into two groups according to different intervention schemes,with 40 cases in each group.The control group was given routine nursing intervention,and the study group was combined with nursing intervention based on protection motivation theory.The psychological state,medication compliance,self-management ability and quality of life of the two groups were compared.Results After intervention,the scores of anxiety and depression scales in the study group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The excellent rate medication compliance of the study group was 95%(38/40),which was higher than 80.00%(32/40)of the control group,and the difference was statistically significant(χ2=4.114,P<0.05).After intervention,the scores of self-management ability and quality of life in the two groups were higher than those before intervention,and those in the study group were higher than those in the control group,the differences were statistically significant(all P<0.05).Conclusion The implementation of nursing intervention based on the theory of protective motivation for patients with inflammatory bowel disease can improve the patient's self-management ability,medication compliance,improve bad mood and improve the quality of life.