自我决定理论下的护理干预在ERCP治疗患者中的应用
Application of Nursing Intervention under Self-determination Theory in Patients Undergoing Endoscopic Retrograde Cholangiopancreatography Treatment
海彬 1王双凤 1肖钊 1程亭亭1
作者信息
- 1. 郑州大学第一附属医院 河南郑州 450052
- 折叠
摘要
目的:探讨自我决定理论(SDT)下的护理干预在经内镜下逆行胰胆管造影(ERCP)治疗患者中的应用效果.方法:选取2022 年 8 月 1 日～2023 年 8 月 31 日收治的 179 例ERCP治疗患者为研究对象,采用信封法随机分为对照组 89 例和研究组 90例,对照组行常规护理,研究组在此基础上采用SDT下的护理干预;比较两组干预前后治疗依从性、心理状态[采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、自我效能[采用成年人健康自我管理能力测评量表(AHSMSRS)]、生活质量[采用胃肠道生活质量量表(GIQLI)]及护理满意度.结果:干预后,研究组依从率高于对照组(P<0.05);干预后,两组HAMA、HAMD评分均低于干预前(P<0.05),且研究组低于对照组(P<0.05);干预后,两组AHSMSRS、GIQLI评分均高于干预前(P<0.05),且研究组高于对照组(P<0.05);研究组护理满意度高于对照组(P<0.05).结论:SDT下的护理干预在ERCP治疗患者中具有健康促进作用,可提高其治疗依从性、自我效能、生活质量及护理满意度,从而改善心理状态.
Abstract
Objective:To explore the application effect of nursing interventions under self-determination theory(SDT)in patients under-going endoscopic retrograde cholangiopancreatography treatment.Methods:A total of 179 patients treated with endoscopic retrograde cholan-giopancreatography from August 1,2022 to August 31,2023 were selected as the study subjects.They were randomly divided into control group(n=89)and study group(n=90)using the envelope method.The control group received routine care,while the study group received nursing interventions under SDT on this basis.The treatment compliance,psychological status[using Hamilton Anxiety Scale(HAMA)and Hamilton rating scale for depression(HAMD)],self-efficacy[using Adult Health Self-Management Ability Scale(AHSMSRS)],quality of life[using Gastrointestinal Quality of Life Index(GIQLI)],and nursing satisfaction were compared between two groups before and after in-tervention.Results:After intervention,the compliance rate of the study group was higher than that of the control group(P<0.05).After in-tervention,the HAMA and HAMD scores of both groups were lower than before intervention(P<0.05),and the study group was lower than the control group(P<0.05).After intervention,the AHSMSRS and GIQLI scores of both groups were higher than before intervention(P<0.05),and the study group was higher than the control group(P<0.05).The nursing satisfaction of the research group was higher than that of the control group(P<0.05).Conclusion:Nursing interventions under SDT have a health promoting effect in patients undergoing en-doscopic retrograde cholangiopancreatography,which can improve their treatment compliance,psychological status,self-efficacy,quality of life,and nursing satisfaction.
关键词
自我决定理论/内镜下逆行胰胆管造影/自我管理/依从性Key words
SDT/Endoscopic retrograde cholangiopancreatography/Self-management/Compliance引用本文复制引用
出版年
2024
NETL
NSTL
万方数据