首页> 中文期刊> 《全科护理》 >家庭赋权理论在慢性胃炎伴胃黏膜萎缩糜烂病人护理中的价值及对病人依从性的影响

家庭赋权理论在慢性胃炎伴胃黏膜萎缩糜烂病人护理中的价值及对病人依从性的影响

         

摘要

[目的]探讨家庭赋权理论在慢性胃炎伴胃黏膜萎缩糜烂病人护理中的价值。[方法]将80例慢性胃炎伴胃黏膜萎缩糜烂病人随机分为观察组和对照组各40例,对照组采用常规护理方法,观察组结合家庭赋权理论设计护理方案;比较两组病人临床疗效、生存质量,并分析病人对疾病认知情况和健康行为依从性。[结果]护理3个月后,观察组总有效率为90.0%,对照组为77.5%,观察组显著高于对照组(χ2=5.741,P =0.017);观察组诺丁汉健康量表(NHP)各子项目得分显著高于对照组(P <0.05);观察组对发病原因、药物相关知识、饮食认知等疾病了解程度显著高于对照组(P <0.05),观察组在规范用药、定期检查、合理饮食、情绪调节、戒烟戒酒等行为依从性方面显著优于对照组(P <0.05)。[结论]通过家庭赋权理论建立起的家属参与护理方案,能够有效提高慢性胃炎伴胃黏膜萎缩糜烂病人生活质量和健康行为依从性,改善病人预后。%Objective:To probe into the value of family empowerment theory in nursing care of chronic gastritis patients with atrophic gastric mucosa erosion.Methods:A total of 80 cases of patients with chronic gastritis complicated with atrophic gastric mucosa erosion were randomly divided into the observation group and control group,40 cases in each.Patients in control group received the routine nursing method,but the nursing plan was designed combined with the family empowerment theory for the patients in observation group,then to compare the clinical curative effect and quality of life between two groups of patients,and analyze the health behavior compliance and disease cognition of patients.Results:After 3 months of nursing care,the total effective rate was 90% in observation group and 77.5% in control group,the total effective rate in observation group was signifi-cantly higher than that in control group (χ2=5.741,P=0.017);in observation group,all NHP sub project scores were significantly higher than that in control group (P<0.05);the disease knowledge of patients in ob-servation group on etiology,drug related knowledge and dietary cognition was higher than that in control group (P<0.05),the behavior compliance of patients in observation group in the standard medication,regular check,reasonable diet,emotion regulation,smoking and drinking were better than that in control group (P<0.05). Conclusion:The families participating in nursing scheme established through the family empowerment theory can effectively improve the quality of life and health behavior compliance and improve the prognosis of patients.

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