摘要
目的 探讨基于干预映射(IM)理论的护理方案在视神经脊髓炎谱系病(NMOSD)患者中的应用效果。方法 选取郑州大学第一附属医院2021年3月至2022年12月收治的80例NMOSD患者,采用随机抽签法分为对照组(40例,接受常规护理方案干预)、干预组(40例,接受基于IM理论的护理方案干预)。比较两组心理应激反应(医院应激量表)、疾病认知、自我管理行为、残疾程度[扩展残疾状态量表(EDSS)]及日常生活能力(Barthel指数)。结果 干预后,干预组医院应激量表总评分及家庭社会因素、环境陌生、不舒服、疾病威胁、缺乏信息维度评分低于对照组(P<0.05),疾病认知总评分及饮食知识、疾病与治疗相关知识、用药安全、运动健康维度评分高于对照组(P<0.05),NMOSD自我管理行为量表总评分及运动精确性、自我管理态度、饮食依从性维度评分高于对照组(P<0.05),EDSS评分低于对照组(P<0.05),BI评分高于对照组(P<0.05)。结论 基于IM理论的护理方案能有效改善NMOSD患者的心理应激反应和疾病认知,降低残疾程度,提高自我管理行为和日常生活能力。
Objective To investigate the effects of nursing program based on intervention mapping(IM)theory on mental state,disease cognition and disability degree of patients with neuromyelitis optica spectrum disorder(NMOSD).Methods A total of 80 NMOSD patients admitted to the First Affiliated Hospital of Zhengzhou University from March 2021 to December 2022 were selected and divided into control group and intervention group with 40 cases each by random number table method.The control group was given routine nursing intervention,and the intervention group was given nursing intervention based on intervention mapping theory.Psychological stress response(hospital stress scale),disease cognition,self-management behavior,disability degree[extended disability status scale(EDSS)]and ability of daily living(Barthel index)were compared between the two groups.Results After intervention,the total score of hospital stress scale and the scores of family social factors,unfamiliar environment,discomfort,disease threat and lack of information in the intervention group were lower than those in the control group(P<0.05).After intervention,the scores of total disease cognition,diet knowledge,disease and treatment related knowledge,drug safety and exercise health in the intervention group were higher than those in the control group(P<0.05).After intervention,the total score of NMOSD self-management behavior scale and the dimension scores of exercise accuracy,self-management attitude and diet compliance in the intervention group were higher than those in the control group(P<0.05).After intervention,the EDSS score of the intervention group was lower than that of the control group(P<0.05).After intervention,the BI score of the intervention group was higher than that of the control group(P<0.05).Conclusion The nursing program based on intervention mapping theory can effectively improve the psychological stress response and disease cognition of NMOSD patients,reduce the degree of disability,and improve self-management behavior and daily living ability.
作者
伍三霞
潘婷婷
朱碧云
李爱丽
WU Sanxia;PAN Tingting;ZHU Biyun;LI Aili(Department of Neurology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2024年第12期2280-2285,共6页
Henan Medical Research
关键词
视神经脊髓炎谱系病
干预映射理论
护理
残疾程度
心理状态
neuromyelitis spectrum disease
intervention mapping theory
nursing
degree of disability
mental state
