首页|知信行模式在使用利妥昔单抗患者中的应用效果

知信行模式在使用利妥昔单抗患者中的应用效果

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目的 探讨知信行模式护理在使用利妥昔单抗患者中的应用效果,以寻求患者有效的护理方法,指导临床对患者开展护理服务,促进患者病情更好恢复.方法 选取2021年12月-2023年12月天津医科大学第二医院收治的使用利妥昔单抗治疗的免疫相关性肾病患者99例进行本次分析研究,随机将患者分为对照组51例和研究组48例.对照组给予常规护理,研究组给予知信行模式护理.比较两组护理前后自我效能、健康行为及生活质量评分.结果 护理前,两组一般自我效能感量表(GSES)评分比较,差异无统计学意义(P>0.05);护理后,研究组GSES评分为(29.52±3.84)分,高于对照组的(25.37±3.62)分,差异有统计学意义(t=5.535,P<0.05).护理前,两组健康促进生活方式量表(HPLPⅡ)各项评分比较,差异无统计学意义(P>0.05);护理后,研究组HPLP Ⅱ各项评分高于对照组,差异均有统计学意义(P<0.05).护理前,两组生活质量各项评分比较,差异无统计学意义(P>0.05);护理后,研究组生活质量各项评分均高于对照组,差异均有统计学意义(P<0.05).结论 知信行模式护理在使用利妥昔单抗治疗的免疫相关性肾病患者中有积极的效果,能够有效提升患者的自我效能感、改善健康行为和提高生活质量,值得临床推广应用.
Application effect of knowledge,attitude,behavior and practice model in patients using rituximab
Objective To explore the application effect of knowledge,attitude,behavior and practice(KAP)mode nursing in patients using rituximab,so as to seek effective nursing methods for patients,to guide clinical nursing services for patients,and to promote better recovery of patients'conditions.Methods A total of 99 patients with immune-mediated nephropathy treated with rituximab admitted to the Second Hospital of Tianjin Medical University from December 2021 to December 2023 were selected for this analysis and study,the patients were randomly divided into control group with 51 cases and study group with 48 cases.The control group was given routine nursing,the study group was given knowledeg,attitude,behavior and practice nursing.The scores of self-efficacy,health behavior and quality of life between two groups before and after nursing were compared.Results Before nursing,there was no statistically significant difference in general self-efficacy scale(GSES)scores between the two groups of patients(P>0.05);after nursing,the GSES score of the study group was(29.52±3.84)points,which was higher than that of the control group with(25.37±3.62)points,and the difference was statistically significant(t=5.535,P<0.05).Before nursing,there were no statistically significant differences in health promoting lifestyle profile-Ⅱ(HPLP Ⅱ)various scores between the two groups(P>0.05);after nursing,the HPLPⅡ various scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Before nursing,there were no statistically significant differences in quality of life various scores between the two groups(P>0.05);after nursing,the quality of life various scores of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The knowledge,attitude,behavior and practice model nursing had shown positive effects in patients with immune-mediated kidney disease treated with rituximab,which could effectively enhance their self-efficacy,improve their health behavior and their quality of life,which was worthy of clinical promotion and application.

Knowledge,attitude,behavior and practice mode nursingImmune-mediated nephropathyHealth behavior

刘宝燕、宋薇、张洪艳、贾成玮、钱云、李丹

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天津医科大学第二医院肾内科,天津 300211

知信行模式护理 免疫相关性肾病 健康行为

2024

中国城乡企业卫生
中华预防医学会 天津市职业病防治院

中国城乡企业卫生

影响因子:0.239
ISSN:1003-5052
年,卷(期):2024.39(12)