首页|AIDET沟通模式在精神科住院护患沟通中的应用效果及对患者遵医行为、自我效能的影响

AIDET沟通模式在精神科住院护患沟通中的应用效果及对患者遵医行为、自我效能的影响

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目的 探讨AIDET沟通模式在精神科住院护患沟通中的应用效果及对患者遵医行为、自我效能的影响.方法 选取 100 例精神疾病患者,通过随机数字表法分为对照组与干预组,每组 50 例.对照组行常规沟通方式干预,干预组行AIDET沟通模式干预.比较两组沟通与互动技巧量表(ACIS)评分、遵医行为评分、一般自我效能感量表(CSES)评分.结果 干预后,除资讯交换外,对照组身体、关系评分及总分均较干预前明显增高,而干预组资讯交换、身体、关系评分及总分均较干预前增高,且干预后干预组资讯交换、身体、关系评分及总分分别为(26.79±5.04)、(19.44±3.7)、(14.51±3.43)、(60.74±6.79)分,明显高于对照组的(24.04±4.25)、(16.52±3.29)、(12.42±3.25)、(52.98±7.06)分(P<0.05).与干预前相比,干预后 1、3 个月,两组遵医行为评分均呈升高趋势,且干预后 1、3 个月干预组遵医行为评分分别为(32.29±3.46)、(35.93±4.52)分,均明显高于对照组的(30.16±4.19)、(32.21±3.86)分(P<0.05).重复测量方差分析显示,干预方法可显著提升患者遵医行为评分(P<0.05),且干预方法与干预时间存在明显的交互作用,差异有统计学意义(P<0.05).与干预前相比,干预后1、3个月,两组CSES评分均升高,且干预后1、3个月干预组CSES评分分别为(34.27±4.42)、(36.27±4.0)分,均高于对照组的(31.43±3.75)、(33.41±5.15)分(P<0.05).重复测量方差分析显示,干预方法可显著提升患者CSES评分(P<0.05),且干预方法与干预时间存在交互作用(P<0.05).结论 AIDET沟通模式在精神科住院护患沟通中应用能改善患者遵医行为,提高其自我效能,值得临床推广.
Application of AIDET communication mode in psychiatric inpatient nurse-patient communication and its influence on compliance behavior and self-efficacy
Objective To explore the application of AIDET communication mode in psychiatric inpatient communication and its influence on compliance behavior and self-efficacy.Methods 100 psychiatric patients were randomly divided into a control group and an intervention group,with 50 patients in each group.The control group received conventional communication mode intervention,and the intervention group received AIDET communication mode intervention.The scores of assessment of communication and interaction skills(ACIS),medical compliance behavior and general self-efficacy scale(GSES)were compared between the two groups.Results After intervention,except for information exchange,the body score,relationship score and total score of the control group were significantly higher than those before intervention.After intervention,the information exchange score,body score,relationship score and total score of the intervention group were higher than those before intervention;in the intervention group,the information exchange score,body score,relationship score and total score were(26.79±5.04),(19.44±3.7),(14.51±3.43)and(60.74±6.79)points,which were significantly higher than(24.04±4.25),(16.52±3.29),(12.42±3.25)and(52.98±7.06)points in the control group(P<0.05).At 1 and 3 months after intervention,the score of compliance behavior in both groups showed an increasing trend compared with those before intervention;the scores of compliance behavior in the intervention group were(32.29±3.46)and(35.93±4.52)points,which were significantly higher than(30.16±4.19)and(32.21±3.86)points in the control group(P<0.05).Repeated-measures ANOVA showed that the intervention method could significantly improve the score of compliance behavior of patients(P<0.05),and and there was an interaction between the intervention method and the duration of the intervention,with a statistically significant difference(P<0.05).At 1 and 3 months after intervention,the scores of GSES in both groups were higher than those before intervention;the CSES scores in the intervention group were(34.27±4.42)and(36.27±4.0)points,which were higher than(31.43±3.75)and(33.41±5.15)points in the control group(P<0.05).Repeated-measures ANOVA showed that the intervention method could significantly improve the CSES score of patients(P<0.05),and there was an interaction between the intervention method and the duration of the intervention(P<0.05).Conclusion The application of AIDET communication mode in psychiatric inpatient nurse patient communication can improve patients'compliance behavior and self-efficacy,which is worthy of clinical promotion.

AIDET communication modePsychiatry DepartmentCompliance behaviorSelf-efficacyCommunication and interaction skills

刘志超、马秀婷、刘含笑

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211600 金湖县人民医院精神科

AIDET沟通模式 精神科 遵医行为 自我效能 沟通与互动技巧

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(6)
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