中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
20期
2529-2531
,共3页
陈细定%张新红%陆永秀%於军兰%余子容
陳細定%張新紅%陸永秀%於軍蘭%餘子容
진세정%장신홍%륙영수%어군란%여자용
应对方式%自我效能感%乙型肝炎%综合护理干预
應對方式%自我效能感%乙型肝炎%綜閤護理榦預
응대방식%자아효능감%을형간염%종합호리간예
Coping style%Self-efficacy%Hepatitis B%Comprehensive nursing intervention
目的:探讨综合护理干预对慢性乙肝患者应对方式和自我效能感的影响。方法将80例慢性乙肝患者随机分为对照组和观察组,每组各40例。对照组予常规护理,观察组在此基础上进行综合护理干预。3周后采用医学应对问卷(MCMQ)和一般自我效能感量表(GSES)比较两组患者应对方式和自我效能感。结果护理干预后,观察组MCMQ得分中面对分量表得分为(27.93±5.84)分,高于对照组,回避、放弃分量表得分为(10.91±5.90),(4.94±1.09)分,均低于对照组,差异有统计学意义(t值分别为4.65,2.24,9.73;P<0.05);观察组患者干预前后面对、回避和放弃得分比较差异均有统计学意义(P<0.01);对照组干预前后回避和放弃得分比较差异均有统计学意义(P<0.05)。干预后对照组GSES总分为(20.50±5.50)分,低于观察组(30.35±5.0)分,两组比较差异有统计学意义( t=8.38, P<0.05);两组患者干预前后GSES 总分及各条目均分组内比较差异均有统计学意义(P<0.01)。结论综合护理干预能改变慢性乙肝患者的医学应对方式,提高其自我效能感。
目的:探討綜閤護理榦預對慢性乙肝患者應對方式和自我效能感的影響。方法將80例慢性乙肝患者隨機分為對照組和觀察組,每組各40例。對照組予常規護理,觀察組在此基礎上進行綜閤護理榦預。3週後採用醫學應對問捲(MCMQ)和一般自我效能感量錶(GSES)比較兩組患者應對方式和自我效能感。結果護理榦預後,觀察組MCMQ得分中麵對分量錶得分為(27.93±5.84)分,高于對照組,迴避、放棄分量錶得分為(10.91±5.90),(4.94±1.09)分,均低于對照組,差異有統計學意義(t值分彆為4.65,2.24,9.73;P<0.05);觀察組患者榦預前後麵對、迴避和放棄得分比較差異均有統計學意義(P<0.01);對照組榦預前後迴避和放棄得分比較差異均有統計學意義(P<0.05)。榦預後對照組GSES總分為(20.50±5.50)分,低于觀察組(30.35±5.0)分,兩組比較差異有統計學意義( t=8.38, P<0.05);兩組患者榦預前後GSES 總分及各條目均分組內比較差異均有統計學意義(P<0.01)。結論綜閤護理榦預能改變慢性乙肝患者的醫學應對方式,提高其自我效能感。
목적:탐토종합호리간예대만성을간환자응대방식화자아효능감적영향。방법장80례만성을간환자수궤분위대조조화관찰조,매조각40례。대조조여상규호리,관찰조재차기출상진행종합호리간예。3주후채용의학응대문권(MCMQ)화일반자아효능감량표(GSES)비교량조환자응대방식화자아효능감。결과호리간예후,관찰조MCMQ득분중면대분량표득분위(27.93±5.84)분,고우대조조,회피、방기분량표득분위(10.91±5.90),(4.94±1.09)분,균저우대조조,차이유통계학의의(t치분별위4.65,2.24,9.73;P<0.05);관찰조환자간예전후면대、회피화방기득분비교차이균유통계학의의(P<0.01);대조조간예전후회피화방기득분비교차이균유통계학의의(P<0.05)。간예후대조조GSES총분위(20.50±5.50)분,저우관찰조(30.35±5.0)분,량조비교차이유통계학의의( t=8.38, P<0.05);량조환자간예전후GSES 총분급각조목균분조내비교차이균유통계학의의(P<0.01)。결론종합호리간예능개변만성을간환자적의학응대방식,제고기자아효능감。
Objective To explore the comprehensive nursing intervention on coping style and self -efficacy in chronic hepatitis B patients .Methods Eighty chronic hepatitis B patients were chosen and randomly divided into the control group and the observation group , each with 40 cases.The control group received the routine nursing , and the observation group received the nursing intervention on the basis of routine nursing .The coping style and self-efficacy were compared through the Medical Coping Modes Questionnaire ( MCMQ ) and General Self-efficacy Scale (GSES) between two groups after 3 weeks.Results The subscale scores of MCMQ including face, avoid and abandon were respectively (27.93 ±5.84), (10.91 ±5.90), (4.94 ±1.09) in the observation group after the intervention , and were better than those of the control group , and the differences were statistically significant (t=4.65,2.24,9.73, respectively;P<0.05).The differences were found in the scores of face, avoid and abandon in the observation group before and after the intervention ( P <0.01 ).The differences were found in the scores of avoid and abandon in the control group before and after the intervention (P<0.05).The total scores of GSES was (20.50 ±5.50) in the control group after the intervention , and was lower than (30.35 ±5.0) in the observation group, and the difference was statistically significant (t=8.38, P<0.05).Conclusions Nursing intervention can change the coping style and improve their self-efficacy in chronic hepatitis B patients .