摘要
目的 探究赋能教育及微信平台对乙肝肝硬化患者治疗依从性及自我效能的影响.方法 选取2021年3月-2022年5月于医院诊治的乙肝肝硬化患者86例为研究对象,按照组间基本特征均衡可比的原则分为观察组和对照组,各43例.对照组采用常规护理,观察组在对照组基础上应用赋能教育及微信平台护理.观察两组患者护理前后疾病认知程度,采用视觉模拟评分法(VAS)、一般自我效能感量表(GSES)、生活质量量表(SF-36)分别评估患者护理前后的疼痛程度、自我效能和生活质量,比较两组患者治疗依从率.结果 护理后,观察组患者发病诱因、用药方法、运动休息、饮食、自我防护的认知程度得分均高于对照组,差异有统计学意义(P＜0.05);护理后,观察组患者VAS评分低于对照组,SF-36评分高于对照组,差异有统计学意义(P＜0.05);护理后观察组患者GSES评分高于对照组,差异有统计学意义(P＜0.05).观察组治疗依从率高于对照组,差异有统计学意义(P＜0.05).结论 应用赋能教育及微信平台在乙肝肝硬化患者中干预效果显著,能够有效减轻患者疼痛,提高自我效能、自我管理能力、疾病认知程度,达到满意的治疗依从性,同时减少患者因看病、交通等方面的费用和时间成本,缓解经济压力,改善生活质量.
Abstract
Objective To explore the effect of empowerment education and WeChat platform on treatment compliance and self-efficacy in patients with hepatitis B cirrhosis was as the study subject.Methods A total of 86 patients with hepatitis B cirrhosis diagnosed and treated in the hospital from March 2021 to May 2022 were selected as the research subjects.According to the principle of balanced and comparable basic characteristics between the groups,they were divided into an observation group and a control group,with 43 cases in each group.The control group received routine care,and the observation group applied empowerment education and WeChat platform care based on the control group.The disease awareness of the two groups of patients before and after care was observed.visual analogue scale(VAS),general self-efficacy scale(GSES),and quality of life scale(SF-36)were used to evaluate the pain level,self-efficacy,and quality of life of the patients before and after care,and the treatment compliance rate of the two groups of patients was compared.Results After nursing,the cognitive scores of patients in the observation group on causes of disease,medication methods,exercise,rest,diet,and self-protection were all higher than those in the control group,the differences were statistically significant(P＜0.05).After nursing,the VAS score in the observation group was lower than that in the control group,the SF-36 score was higher than that in the control group,the differences were statistically significant(P＜0.05).After nursing,the GSES score in the observation group was higher than that in the control group,the difference was statistically significant(P＜0.05).The treatment compliance rate in the observation group was higher than that in the control group,the difference was statistically significant(P＜0.05).Conclusion The application of empowerment education and WeChat platform had a significant intervention effect among patients with hepatitis B cirrhosis.It can effectively reduce patients'pain,improve self-efficacy,self-management ability,and disease awareness,achieve satisfactory treatment compliance,at the same time,it can reduce patients'expenses and time costs for medical treatment,transportation,etc.,relieve economic pressure,and improve the quality of life.
基金项目
广西壮族自治区卫生健康委科研课题(Z-A20230598)
维普
万方数据