中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
10期
1174-1177
,共4页
白内障%负性情绪%自我效能%自我管理%综合技能训练
白內障%負性情緒%自我效能%自我管理%綜閤技能訓練
백내장%부성정서%자아효능%자아관리%종합기능훈련
Cataract%Negative emotions%Self-efficacy%Self-management%Integrated skill training
目的:探讨自我管理综合技能训练对白内障患者负性情绪、自我管理效能及生活质量的影响。方法将68例白内障患者随机分为观察组及对照组各34例,对照组患者术后行常规性护理,观察组在对照组的基础上接受自我管理综合技能训练,包括定向行走技能训练、视觉训练、日常生活技能训练。干预前后采用负性情绪采用汉密尔顿焦虑量表( HAMA)、汉密尔顿抑郁量表( HAMD)、自我效能及管理量表、低视力者生活质量量表比较两组患者干预前后负性情绪、自我效能、自我管理、生活质量方面的差异。结果干预前两组患者HAMA、HAMD、自我效能及管理量表、生活质量各维度得分比较差异均无统计学意义( P>0.05);干预3个月后观察组患者 HAMA 为(10.9±2.8)分、HAMD 为(9.3±4.8)分,自我效能总分为(50.9±12.7)分、自我管理总分为(57.9±8.2)分、生活质量总分为(66.8±4.3)分,观察组患者负性情绪评分下降、自我管理效能及生活质量评分提高,与对照组比较差异有统计学意义(t值分别为4.852,3.985,4.512,4.986,7.623;P<0.01);干预后两组患者自我效能及管理量表、生活质量量表各位的得分比较差异均有统计学意义(P<0.01)。结论对白内障患者应用自我管理综合技能训练可提高患者自我管理及自我效能,改善患者负性情绪,提高患者生活质量。
目的:探討自我管理綜閤技能訓練對白內障患者負性情緒、自我管理效能及生活質量的影響。方法將68例白內障患者隨機分為觀察組及對照組各34例,對照組患者術後行常規性護理,觀察組在對照組的基礎上接受自我管理綜閤技能訓練,包括定嚮行走技能訓練、視覺訓練、日常生活技能訓練。榦預前後採用負性情緒採用漢密爾頓焦慮量錶( HAMA)、漢密爾頓抑鬱量錶( HAMD)、自我效能及管理量錶、低視力者生活質量量錶比較兩組患者榦預前後負性情緒、自我效能、自我管理、生活質量方麵的差異。結果榦預前兩組患者HAMA、HAMD、自我效能及管理量錶、生活質量各維度得分比較差異均無統計學意義( P>0.05);榦預3箇月後觀察組患者 HAMA 為(10.9±2.8)分、HAMD 為(9.3±4.8)分,自我效能總分為(50.9±12.7)分、自我管理總分為(57.9±8.2)分、生活質量總分為(66.8±4.3)分,觀察組患者負性情緒評分下降、自我管理效能及生活質量評分提高,與對照組比較差異有統計學意義(t值分彆為4.852,3.985,4.512,4.986,7.623;P<0.01);榦預後兩組患者自我效能及管理量錶、生活質量量錶各位的得分比較差異均有統計學意義(P<0.01)。結論對白內障患者應用自我管理綜閤技能訓練可提高患者自我管理及自我效能,改善患者負性情緒,提高患者生活質量。
목적:탐토자아관리종합기능훈련대백내장환자부성정서、자아관리효능급생활질량적영향。방법장68례백내장환자수궤분위관찰조급대조조각34례,대조조환자술후행상규성호리,관찰조재대조조적기출상접수자아관리종합기능훈련,포괄정향행주기능훈련、시각훈련、일상생활기능훈련。간예전후채용부성정서채용한밀이돈초필량표( HAMA)、한밀이돈억욱량표( HAMD)、자아효능급관리량표、저시력자생활질량량표비교량조환자간예전후부성정서、자아효능、자아관리、생활질량방면적차이。결과간예전량조환자HAMA、HAMD、자아효능급관리량표、생활질량각유도득분비교차이균무통계학의의( P>0.05);간예3개월후관찰조환자 HAMA 위(10.9±2.8)분、HAMD 위(9.3±4.8)분,자아효능총분위(50.9±12.7)분、자아관리총분위(57.9±8.2)분、생활질량총분위(66.8±4.3)분,관찰조환자부성정서평분하강、자아관리효능급생활질량평분제고,여대조조비교차이유통계학의의(t치분별위4.852,3.985,4.512,4.986,7.623;P<0.01);간예후량조환자자아효능급관리량표、생활질량량표각위적득분비교차이균유통계학의의(P<0.01)。결론대백내장환자응용자아관리종합기능훈련가제고환자자아관리급자아효능,개선환자부성정서,제고환자생활질량。
Objective To discuss the effect of integrated skill training of self-management on self-efficacy and negative emotions of cataract patients .Methods 68 cataract patients were randomly divided into the observation group (n=34)and the control group (n=34).The control group was given routine postoperative nursing, while the observation group was provided with integrated skill training of self -management in addition , including orientation walking skill training , visual training and daily living skill training .HAMA, HAMD, self-efficacy and management scale , quality of life scale for low vision patients were used to compare negative emotions, self-efficacy, self-management and quality of life between two groups before and after intervention . Results There was no statistically significant difference of scores of HAMA , HAMD, self-efficacy and management scale or quality of life scale between two groups before intervention (P >0.05).3 months after intervention , the scores of HAMA , HAMD, self-efficacy and management scale and quality of life scale were respectively (10.9 ±2.8), (9.3 ±4.8), (50.9 ±12.7), (57.9 ±8.2)and (66.8 ±4.3)in the observation group, and patients’ negative emotions score dropped while self-efficacy score and quality of life score increased . The differences between two groups were statistically significant ( t =4.852, 3.985, 4.512, 4.986, 7.623, respectively;P<0.01).Score of each dimension of self-efficacy and self-management scale and quality of life scale was also significantly different between two groups after intervention (P<0.01).Conclusions Integrated skill training of self-management for cataract patients can increase their self-management and self-efficacy level , as well as improve their negative emotions and quality of life .