授权赋能理论的健康教育对类风湿关节炎患者自我效能及生活质量的影响
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摘要
目的:探讨基于授权赋能理论的健康教育对类风湿关节炎(RA)患者自我效能及生活质量的影响。方法:将医院2015年7月至2016年6月收治的行常规健康教育的RA患者90例作为对照组,另将医院2016年7月至2017年6月收治的行基于授权赋能理论的健康教育的RA患者90例作为观察组。对比2组患者护理前后自我效能水平、应对方式及生活质量。结果:护理1周后观察组自我效能水平高于对照组,差异有统计学意义(P<0.05);观察组面对、回避、屈服评分及生理功能、躯体疼痛、总体健康、情感职能、社会功能、精神健康评分均优于对照组,差异有统计学意义(P<0.05)。结论:基于授权赋能理论的健康教育可优化RA患者自我效能,提高生活质量。
Objective: To discuss health education based on empowerment theory on self-efficacy and quality of life in patients with rheumatoid arthritis(RA). Methods: Ninety RA patients who were hospitalized from July,2015 to June, 2016 were chosen as the control group, and they accepted conventional health education, 90 patients who were admitted from July, 2016 to June, 2017 were taken as the observation group, and they adopted health education based on empowerment theory. To compare self-efficacy level, coping styles and quality of life between both groups before and after the nursing. Results: Self-efficacy level of the observation group was higher than that of the control group after nursing for one week, and the difference showed statistical meaning(P <0.05); the observation group was superior to the control group in the scores of confronting, dodging and yielding, physiological function, somatic pain, total pain, total health, emotional role, social function and psychological health, and the difference showed statistical meaning(P<0.05). Conclusion: Health education based on empowerment theory could optimize self-efficacy and improve quality of life in RA patients.
Objective: To discuss health education based on empowerment theory on self-efficacy and quality of life in patients with rheumatoid arthritis(RA). Methods: Ninety RA patients who were hospitalized from July,2015 to June, 2016 were chosen as the control group, and they accepted conventional health education, 90 patients who were admitted from July, 2016 to June, 2017 were taken as the observation group, and they adopted health education based on empowerment theory. To compare self-efficacy level, coping styles and quality of life between both groups before and after the nursing. Results: Self-efficacy level of the observation group was higher than that of the control group after nursing for one week, and the difference showed statistical meaning(P <0.05); the observation group was superior to the control group in the scores of confronting, dodging and yielding, physiological function, somatic pain, total pain, total health, emotional role, social function and psychological health, and the difference showed statistical meaning(P<0.05). Conclusion: Health education based on empowerment theory could optimize self-efficacy and improve quality of life in RA patients.
引文
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[19]杨梅,杨钰潼,付秋蓉,等.认知行为疗法干预类风湿关节炎25例患者临床观察[J].护理学报,2015,10(5):66-69.
[20]刘凌昕,李傲梅,王双双,等.类风湿关节炎患者健康教育路径的流程管理[J].医学研究生学报,2014,27(8):857-859.
[21]李振荣,秦洁,文素芳,等.膝关节镜手术中止血带不同使用时机的效果观察[J].护理管理杂志,2016,16(2):143-144.
[22]陈国荣,魏琼.手部低毒感染患者的观察与护理[J].上海护理,2015,15(2):60-63.
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[24]黄波,张静,陈雅琴,等.情志护理应用于类风湿关节炎的调查分析[J].河北中医,2015,37(3):453-455.
[2]吴莉萍,张子云,李晓倩,等.活动期类风湿关节炎患者关节功能锻炼的延续护理[J].护理学杂志,2017,32(7):83-85.
[3]鄂绪,周郁秋,张慧,等.认知行为疗法对类风湿关节炎患者负性情绪治疗效果的Meta分析[J].中国实用护理杂志,2015,31(9):689-694.
[4]钱林林,衡世东,胡艳芬.自拟祛风除湿中药方联合光波足疗法治疗难治性类风湿关节炎效果分析[J].中医药信息,2017,34(5):58-61.
[5]严家欣,王攀攀,张荣华.类风湿关节患者的中医证型与生存质量相关性分析[J].暨南大学学报:自然科学与医学版,2017,38(4):343-349.
[6]王彦艳,刘延锦,娄小平,等.住院患者跌倒不良事件发生的相关因素分析[J].中国护理管理,2017,17(7):963-966.
[7]Lineker SC,Bell MJ,Willkins AL,et al.Improvements following short term home based physical therapy are maintained at one year in people with moderate to severe rheumatoid arthritis[J].Journal of Rheumatology,2001,28(1):165-168.
[8]Machado LAC,Telles RW,Costa-Silva L,et al.Psychometric properties of Multidimensional Health Locus of Control-A and general self-efficacy scale in civil servants:ELSA-Brasil Musculoskeletal Study(ELSA-Brasil MSK)[J].Braz J Phys Ther,2016,20(5):451-460.
[9]Wu XD,Qin HY,Zhang JE,et al.The prevalence and correlates of symptom distress and quality of life in Chinese oesophageal cancer patients undergoing chemotherapy after radical oesophagectomy[J].Eur JOncol Nurs,2015,19(5):502-508.
[10]Mittal N,Shafiq N,Reddy S,et al.Evaluation of ef ficacy of metoprolol in patients having heart failure with preserved ejection fraction:a randomized,double-blind,placebo-controlled pilot trial[J].Perspect Clin Res,2017,8(3):124-131.
[11]蔡旭,肖剑伟,郭粉莲,等.个性化健康教育在类风湿性关节炎病人护理中的应用[J].护理研究,2016,30(23):2887-2889.
[12]陈佩玲,谢伦芳.依那西普与来氟米特治疗类风湿关节炎的临床应用及护理进展[J].中国实用护理杂志,2015,31(26):2026-2028.
[13]傅根莲,戴杏娟,刘晓霞.类风湿关节炎患者延续护理需求调查及影响因素分析[J].中国护理管理,2015,15(6):729-733.
[14]王海东,年芳红,金芳梅.祖师麻膏药治疗寒湿痹阻型类风湿关节炎腕关节病变40例[J].西部中医药,2016,29(10):107-109.
[15]王晓芬,胡赟霞.自我护理培训对类风湿关节炎病人疾病不确定感及生活质量的影响[J].护理研究,2016,30(18):2292-2294.
[16]赵小宁,柴恺.人工全膝关节置换术术前功能锻炼的研究进展[J].上海护理,2017,17(2):68-71.
[17]张挺,叶天申,李永吉,等.托珠单抗对肿瘤坏死因子-α拮抗剂反应不佳的和初治的类风湿关节炎患者的疗效评价[J].中国现代医生,2017,55(8):98-101.
[18]沈晓桦,崔屹,陈琦,等.石氏伤科膝关节导引功法对改善膝骨关节炎患者生活质量的研究[J].护理管理杂志,2016,16(9):661-663.
[19]杨梅,杨钰潼,付秋蓉,等.认知行为疗法干预类风湿关节炎25例患者临床观察[J].护理学报,2015,10(5):66-69.
[20]刘凌昕,李傲梅,王双双,等.类风湿关节炎患者健康教育路径的流程管理[J].医学研究生学报,2014,27(8):857-859.
[21]李振荣,秦洁,文素芳,等.膝关节镜手术中止血带不同使用时机的效果观察[J].护理管理杂志,2016,16(2):143-144.
[22]陈国荣,魏琼.手部低毒感染患者的观察与护理[J].上海护理,2015,15(2):60-63.
[23]林静,徐玉兰.类风湿关节炎患者主要照顾者负荷水平及影响因素分析[J].护理学杂志:综合版,2015,30(23):20-22.
[24]黄波,张静,陈雅琴,等.情志护理应用于类风湿关节炎的调查分析[J].河北中医,2015,37(3):453-455.