首页|基于认知内化导向的目的执行方案对上消化道出血患者睡眠情况、自我效能感的影响

基于认知内化导向的目的执行方案对上消化道出血患者睡眠情况、自我效能感的影响

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目的 探究基于认知内化导向的目的执行方案对上消化道出血、患者睡眠情况、自我效能感的影响.方法 以江苏省淮安市第四人民医院2019年3月至2021年5月抽取的102例上消化道出血患者作为研究对象,依照随机数字表法将其分为对照组和观察组,各51例.对照组给予常规护理,观察组给予基于认知内化导向的目的执行方案.比较两组护理前后匹兹堡睡眠质量指数(PSQI)、自我效能感量表(GSES)及副反应评分量表(TESS)评分.结果 护理后,两组PSQI评分低于干预前,且观察组低于对照组(P<0.05);匹兹堡睡眠质量指数两组GSES评分高于护理前,且观察组高于对照组(P<0.05).整体分析发现:两组TESS组间比较、时间点比较及交互作用差异有统计学意义(P<0.05).进一步两两比较,组内比较:两组TESS评分干预后各时间点比较,差异均有统计学意义(P<0.05);组间比较:观察组干预后3、4周TESS评分低于对照组(P<0.05).结论 对患有上消化道出血患者给予基于认知内化导向的目的执行方案护理措施,可提升患者睡眠质量,改善自我效能感,降低副作用.
Effect of objective implementation program based on cognitive internal-ization orientation on sleep condition and self-efficacy of upper gastroin-testinal bleeding
Objective To explore the effect of objective implementation program based on cognitive internalization orientation on sleep condition and self-efficacy of upper gastrointestinal bleeding.Methods A total of 102 patients with upper gastrointestinal bleeding were selected from Hua-ian NO.4 People's Hospital,Jiangsu Province from March 2019 to May 2021 as the study object,according to random number table method,they were divided into control group and observation group,with 51 cases in each group.The control group was given routine nursing,and the observa-tion group was given objective implementation program based on cognitive internalization orientation.The scores of Pittsburgh sleep quality index(PSQI),general self-efficacy scale(GSES),and treatment emergent symptom scale(TESS)before and after nursing were compared between the two groups.Results After nursing,the PSQI scores in both groups were lower than before nursing,and those of observation group were lower than those of control group(P<0.05);the GSES scores of the two groups were higher than before nursing,and those of observation group were higher than those of control group(P<0.05);the overall analysis showed that there were statistically significant differences in inter-group comparison,time-point comparison,and interaction comparison between the two groups(P<0.05).Further pound-wise comparison and intra-group compari-son:the TESS time points were compared between the two groups after intervention,and the differences were statistically significant(P<0.05).In-ter-group comparison:the TESS scores three,four weeks after intervention of the observation group were lower than those of the control group(P<0.05).Conclusion For patients with upper gastrointestinal bleeding,the objective implementation program based on cognitive internalization orientation nursing measures can improve the sleep quality of patients,improve self-efficacy,and reduce the side effect score.

Cognitive internalization orientationObjective implementation planUpper gastrointestinal bleedingSleep conditionSelf-efficacy

苏亚蓉、张蕾、朱礼尧、庄颖

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江苏省淮安市第四人民医院肝病科,江苏淮安 223001

认知内化导向 目的执行方案 上消化道出血 睡眠情况 自我效能感

江苏省高层次卫生人才"六个一"拔尖人才项目

LGY2019085

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(15)