基于正强化理论的舒适护理在乙肝肝硬化中的应用价值
Application value of comfort nursing based on positive reinforcement theory in hepatitis B cirrhosis
董晓艳 1谢佳 2高文倩 2马萌2
作者信息
- 1. 郑州大学第一附属医院消化内科,河南 郑州 450000
- 2. 郑州大学第一附属医院消化内五科,河南 郑州 450000
- 折叠
摘要
目的:回顾性分析基于正强化理论的舒适护理在乙肝肝硬化中的应用效果.方法:选取 2022 年 12 月-2023年 12 月我院 94 例乙肝肝硬化患者,按护理方法不同分为正强化组(n=47)、常规组(n=47),常规组行常规护理措施,正强化组在此基础上实施基于正强化理论的舒适护理.比较两组自我管理行为[自我护理能力测量量表(ESCA)]、疾病知识掌握、心理弹性[心理弹性量表(CD-RISC)]、生存质量[生存质量量表(QLQ-C30)].结果:干预后,正强化组 ESCA、CD-RISC、疾病知识掌握情况评分高于常规组,QLQ-C30 评分低于常规组(P＜0.05).结论:对乙肝肝硬化患者实施正强化理论的舒适护理,能提高自我管理行为、疾病知识掌握度、心理弹性、生存质量.
Abstract
Objective:To retrospectively analyze the effect of comfort nursing based on positive reinforcement theory in hepatitis B cirrhosis.Methods:94 patients with hepatitis B cirrhosis in our hospital from December 2022 to December 2023 were selected and divided into positive intensive group(n=47)and conventional group(n=47)according to different nursing methods.The conventional group received routine nursing measures,and the positive intensive group received comfort nursing based on the positive reinforcement theory.Self-management behavior[Self-care Ability Measurement Scale(ESCA)],disease knowledge mastery,mental resilience[CD-RISC]and quality of life[QLQ-C30]were compared between the two groups.Results:After intervention,the score of ESCA,CD-RISC and disease knowledge in positive reinforcement group was higher than that in conventional group,and the score of QLQ-C30 was lower than that in conventional group(P<0.05).Conclusion:Comfort nursing with positive reinforcement theory can improve self-management behavior,disease knowledge mastery,mental resilience and quality of life in patients with hepatitis B cirrhosis.
关键词
正强化理论/舒适护理/乙肝/肝硬化/自我管理行为Key words
Positive reinforcement theory/Comfort care/Hepatitis B/Liver cirrhosis/Self-management behavior引用本文复制引用
出版年
2024
NETL
NSTL
万方数据