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基于正强化理论的舒适护理在乙肝肝硬化中的应用价值

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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.
Application value of comfort nursing based on positive reinforcement theory in hepatitis B cirrhosis
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.

Positive reinforcement theoryComfort careHepatitis BLiver cirrhosisSelf-management behavior

董晓艳、谢佳、高文倩、马萌

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郑州大学第一附属医院消化内科,河南 郑州 450000

郑州大学第一附属医院消化内五科,河南 郑州 450000

正强化理论 舒适护理 乙肝 肝硬化 自我管理行为

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(12)