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投稿时间：2021-12-27 网络发布日期：2022-09-20
投稿时间：2021-12-27 网络发布日期：2022-09-20
中文摘要: 目的 探讨基于行为转变理论的护理干预对变应性鼻炎（AR）脱敏治疗依从性及疾病感知控制的影响。方法 选取2020年5月至2021年5月在武汉大学人民医院收治的100例AR患者，采用随机数表法将入组患者分为观察组（n=50）和对照组（n=50）。对照组患者予以常规护理干预，观察组患者予以基于行为转变理论的护理干预，均持续干预3个月。评估两组患者治疗依从性；在护理干预前后，采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、修订版控制态度量表（CAS-R）、自我护理能力测定量表（ESCA）评估两组患者焦虑、抑郁、疾病感知控制能力及自我护理能力。结果 观察组AR患者治疗依从率显著高于对照组（94.00% vs 80.00%, P＜0.05）；干预后，观察组患者的SAS、SDS评分显著低于对照组，CAS-R评分、ESCA评分显著高于对照组(P＜0.01)。结论 行为转变理论的护理干预可提高AR患者脱敏治疗依从性及对疾病感知控制能力。
Abstract:Objective To explore the nursing effect of behavioral change based nursing intervention in allergic rhinitis （AR）desensitization treatment. Methods A total of 100 AR patients admitted to Renmin Hospital of Wuhan University from May 2020 to May 2021 were enrolled and divided into observation group (n=50) and control group(n=50) randomly. The control group were given routine nursing intervention, while observation group were given nursing intervention based on behavioral change theory. All patients were continuously intervened for 3 months. The treatment compliance in both groups was evaluated. Before and after nursing intervention, self-rating anxiety scale (SAS)，self-rating depression scale (SDS)， Revised Control Attitude Scale (CAS-R) and exercise of self-care agency scale (ESCA) were used to evaluate anxiety and depression， disease perception control and self-care ability. Results The treatment compliance rate in observation group was higher than that in control group (94.00% vs 80.00%, P<0.05). After intervention, SAS and SDS were significantly lower, CAS-R and ESCA were significantly higher in observation group than those in control group (P<0.01). Conclusion Nursing intervention based on behavior transition theory can improve compliance of desensitization therapy and disease perception control in AR patients.
keywords: Behavior transition theory Allergic rhinitis Desensitization therapy Compliance Disease perception control
文章编号： 中图分类号：R473.76 文献标志码：B
基金项目:湖北省自然科学基金（2020CFB236）
| Author Name | Affiliation |
| LIU Meng, LEI Wei-wei, ZOU You, LI Fang-li | Second Department of Otorhinolaryngology-Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, China |
引用文本：
刘蒙，雷薇薇，邹游，李芳丽.基于行为转变理论的护理干预对变应性鼻炎脱敏治疗依从性及疾病感知控制的影响[J].中国临床研究,2022,35(9):1324-1328.
刘蒙，雷薇薇，邹游，李芳丽.基于行为转变理论的护理干预对变应性鼻炎脱敏治疗依从性及疾病感知控制的影响[J].中国临床研究,2022,35(9):1324-1328.