论文部分内容阅读
目的探讨基于认知行理论的护理干预对改善痛风患者治疗依从性与生活质量的作用。方法选择2014年6月—2016年7月期间成都医学院第一附属医院风湿免疫科住院部痛风患者240例,采用随机数字表法将患者分为观察组与对照组,各120例,对照组采用常规护理,观察组采用基于认知行理论的护理干预,比较两组治疗依从性与生活质量的差异。结果护理后,观察组痛风知识(危险因素、诱发原因、并发症情况、治疗相关知识与自我护理)掌握率明显高于对照,认知行(情绪调节、治疗信心、适量运动、限酒、饮食控制与遵医行为)良好率明显高于对照组,治疗依从率(94.17%)明显高于对照组(66.67%),健康调查简表(SF-36)各维度[精神健康(MH)、情感职能(RE)、社会功能(SF)、活力(VT)、躯体疼痛(BP)、生理职能(RP)、生理功能(PF)与总体健康(GH)]评分亦明显高于对照组,差异均有统计学意义(均P<0.01)。结论基于认知行理论的护理干预通过明显改善知识掌握程度与认知行状况,从而显著改善痛风患者治疗依从性与生活质量。
Objective To explore the effect of nursing intervention on improvement of treatment adherence and quality of life in gout patients based on cognitive theory. Methods A total of 240 patients with gout in the Department of Rheumatology and Immunology of the First Affiliated Hospital of Chengdu Medical College from June 2014 to July 2016 were randomly divided into observation group and control group using random number table method, Using routine nursing, the observation group adopted the nursing intervention based on cognitive theory to compare the differences between the two groups in treatment compliance and quality of life. Results After the nursing, gout knowledge (risk factors, causes, complications, treatment-related knowledge and self-care) in the observation group was significantly higher than that of the control group. Cognitive behavior (mood adjustment, treatment confidence, moderate exercise, alcohol restriction, diet (94.17%) was significantly higher than that of the control group (66.67%). The dimensions of the Health Survey Short Form (SF-36) [Mental Health (MH) (RE), social function (SF), vitality (VT), physical pain (BP), physical function (RP), physical function (PF) and general health (GH) There was statistical significance (all P <0.01). Conclusion Nursing intervention based on cognitive theory can significantly improve the treatment compliance and quality of life in gout patients by significantly improving the level of knowledge mastery and cognitive behavior.