首页|授权赋能理论下的健康教育对类风湿性关节炎合并间质性肺炎患者自我效能、生活质量的影响

授权赋能理论下的健康教育对类风湿性关节炎合并间质性肺炎患者自我效能、生活质量的影响

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目的 分析授权赋能理论下的健康教育在类风湿性关节炎合并间质性肺炎(RA-IP)患者护理中的效果。方法 选取在我院接受治疗的 120 例RA-IP患者为研究对象,随机将其分为对照组和干预组,各 60 例。对照组给予常规护理干预,干预组给予授权赋能理论下的健康教育。比较两组的干预效果。结果 出院3 个月,干预组的关节压痛、关节肿胀、咳嗽咳痰及呼吸困难发生率低于对照组(P<0。05)。出院时,干预组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,一般自我效能感量表(GSES)评分高于对照组(P<0。05)。干预后,干预组的自我护理能力量表(ESCA)、健康状况调查简表(SF-36)各维度评分均高于对照组(P<0。05)。结论 授权赋能理论下的健康教育应用于RA-IP患者的护理中能有效缓解关节疼痛,改善呼吸系统症状,调节心理状态,提高自我效能和自我护理能力,并提升生活质量。
Effects of health education under empowerment theory on self-efficacy and quality of life in patients with rheumatoid arthritis complicated with interstitial pneumonia
Objective To analyze the effect of health education under empowerment theory in the nursing of patients with rheumatoid arthritis complicated with interstitial pneumonia(RA-IP).Methods A total of 120 patients with RA-IP treated in our hospital were selected as the study objects and randomly divided into control group and intervention group,with 60 cases in each group.The control group was given routine nursing intervention,and the intervention group was given health education under empowerment theory.The intervention effects of the two groups were compared.Results Three months after discharge,the incidences of joint tenderness,joint swelling,cough and expectoration and dyspnea in the intervention group were lower than those in the control group(P<0.05).At discharge,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the intervention group were lower than those in the control group,and the score of General Self-Efficacy Scale(GSES)was higher than that in the control group(P<0.05).After intervention,the scores of each dimension of Exercise of Self-Care Agency Scale(ESCA)and Short Form 36 Health Survey Questionnaire(SF-36)in the intervention group were higher than those in the control group(P<0.05).Conclusion The health education under empowerment theory applied in the nursing of RA-IP patients can effectively relieve joint pain,improve respiratory symptoms,regulate psychological state,improve self-efficacy and self-care ability,and promote the quality of life.

empowerment theoryhealth educationrheumatoid arthritisinterstitial pneumoniaself-efficacyquality of life

史雅锋、刘佳钰、陈庆平、李娟、刘丹

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西安市第五医院,陕西 西安,710082

授权赋能理论 健康教育 类风湿性关节炎 间质性肺炎 自我效能 生活质量

陕西省重点研发计划陕西省自然科学基础研究计划西安市科技计划西安市卫生健康委项目

2021SF-2592021JZ-592021JH-03-04272021qn06

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(14)
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