中国医学创新2024,Vol.21Issue(3) :103-107.DOI:10.3969/j.issn.1674-4985.2024.03.025

基于聚焦解决模式的护理干预对强直性脊柱炎患者情绪及治疗依从性的影响

Effect of Nursing Intervention Based on Focused Solution Model on Emotion and Therapy Adherence of Patients with Ankylosing Spondylitis

邓玮华 郭妍晶 刘英
中国医学创新2024,Vol.21Issue(3) :103-107.DOI:10.3969/j.issn.1674-4985.2024.03.025

基于聚焦解决模式的护理干预对强直性脊柱炎患者情绪及治疗依从性的影响

Effect of Nursing Intervention Based on Focused Solution Model on Emotion and Therapy Adherence of Patients with Ankylosing Spondylitis

邓玮华 1郭妍晶 1刘英1
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作者信息

  • 1. 福建医科大学附属三明第一医院风湿内分泌科 福建 三明 365000
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摘要

目的:探讨强直性脊柱炎患者应用基于聚焦解决模式护理干预的效果及其对情绪及治疗依从性的影响.方法:选取 2022 年 1-12 月福建医科大学附属三明第一医院风湿内分泌科收治的 58 例强直性脊柱炎患者,按随机数字表法分为两组,给予对照组(n=29)患者常规护理,给予观察组(n=29)患者常规护理及基于聚焦解决模式的护理干预.观察比较两组心理状态、疼痛度、关节功能、自我效能及治疗依从性.结果:护理后,观察组抑郁自评量表(SDS)与焦虑自评量表(SAS)评分较对照组均显著更低(P<0.05);护理后,观察组Bath强直性脊柱炎功能指数量表(BASFI)与视觉模拟评分法(VAS)评估均显著低于对照组(P<0.05);观察组护理后一般自我效能感量表(GSES)评分及总依从率均显著高于对照组(P<0.05).结论:强直性脊柱炎患者临床治疗中应用基于聚焦解决模式的护理,可明显改善患者不良情绪与疼痛感,并可提高其治疗依从性与自我效能,使患者能以积极心态主动配合治疗与护理,进而能有效提升其关节功能.

Abstract

Objective:To investigate the effect of nursing intervention based on focused solution mode in patients with ankylosing spondylitis and its influence on emotion and therapy adherence.Method:A total of 58 patients with ankylosing spondylitis admitted to Department of Rheumatology and Endocrinology,Sanming First Hospital Affiliated to Fujian Medical University from January to December 2022 were divided into two groups according to random number table method.Patients in the control group(n=29)were given routine nursing,and patients in the observation group(n=29)were given routine nursing and nursing intervention based on focused solution mode.The mental state,pain degree,joint function,self-efficacy and therapy adherence of the two groups were observed and compared.Result:After nursing,the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)in observation group were significantly lower than those in control group(P<0.05).After nursing,the scores of Bath ankylosing spondylitis function index scale(BASFI)and visual analogue scale(VAS)in observation group were significantly lower than those in control group(P<0.05).The general self-efficacy scale(GSES)score after nursing and total compliance rate in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:The application of nursing based on focused solution model in the clinical treatment of patients with ankylosing spondylitis can obviously improve the patients'bad mood and pain,and improve their therapy adherence and self-efficacy,so that patients can actively cooperate with treatment and nursing with a positive mentality,and then effectively improve their joint function.

关键词

强直性脊柱炎/聚焦解决模式/治疗依从性/情绪/关节功能

Key words

Ankylosing spondylitis/Focused solution model/Therapy adherence/Emotion/Joint function

引用本文复制引用

出版年

2024
中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
被引量1
参考文献量16
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