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基于感恩拓延-建构理论的延续护理在成人初显期炎症性肠病患者中的应用

Application of Continuing Nursing Based on Gratitude Extension-Construction Theory in Adults Suffering Incipient Inflammatory Bowel Disease
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摘要 目的:探讨感恩拓延-建构理论在成人初显期炎症性肠病患者延续护理中的应用效果。方法:采用方便抽样法,选择104例炎症性肠病患者,随机分为观察组和对照组,各52例。对照组采用常规治疗及护理,观察组在对照组基础上实施感恩拓延-建构理论的延续护理,共干预6个月。比较两组干预前后焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分、感恩问卷(the gratitude questionnaire-6,GQ-6)评分、社会支持评定量表(social support rating scale,SSRS)评分和患者自我护理能力量表(exercise of self-care agency scale,ESCA)评分。结果:观察组50例、对照组51例完成研究。干预前两组SAS、SDS评分比较,差异无统计学意义(P>0.05);干预6个月后,观察组SAS、SDS评分均低于对照组(P<0.001)。干预前两组ESCA评分、GQ-6评分、SSRS评分比较,差异均无统计学意义(P>0.05);干预6个月后观察组ESCA评分、GQ-6评分、SSRS评分均高于对照组(P<0.001)结论:感恩拓延-建构理论护理能改善成人初显期炎症性肠病患者不良情绪,提高患者感恩水平和社会支持水平、自我管理能力。 Objective:To explore application effects of gratitude extension-construction theory in continuing nursing for adults suffering incipient inflammatory bowel disease(IBD).Methods:Convenience sampling was used to choose 104 IBD patients,and they were randomized into the observation group and the control group with 52 cases in each group.The control group adopted conventional therapy and nursing,while continuing nursing based on gratitude extension-construction theory was implemented in the observation group,both groups were intervened for six months.To compare the scores of SAS,SDS,GQ-6,SSRS and ESCA before and after the intervention between the two groups.Results:All 50 cases of the observation group and 51 cases of the control group have finished the study.The difference had no statistical meaning in the scores of SAS and SDS before the intervention between the two groups(P>0.05);after six months of the intervention,the scores of SAS and SDS of the observation group were lower than these of the control group(P<0.01).No significant difference was found in the scores of ESCA,GQ-6 and SSRS between the two groups before the intervention(P>0.05);after six months of the intervention,the scores of ESCA,GQ-6 and SSRS of the observation group were higher than these of the control group(P<0.001).Conclusion:Continuing nursing based on gratitude extension-construction theory could improve the patients'bad moods,improve their gratitude level and social support and self-management ability.
作者 张萍 徒文静 韩娟 朱玲 ZHANG Ping;TU Wenjing;HAN Juan;ZHU Ling(Affiliated Hospital of Nanjing University of TCM,Nanjing 210029,China;School of Nursing,Nanjing University of TCM,Nanjing 210029,China)
出处 《西部中医药》 2025年第7期141-145,共5页 Western Journal of Traditional Chinese Medicine
基金 国家教育部基金项目(19YJCZH147)。
关键词 炎症性肠病 感恩拓延-建构理论 成人初显期 延续护理 inflammatory bowel disease gratitude extension-construction theory adult incipient continuing nursing
作者简介 张萍(1974-),女,主任护师。研究方向:消化系统疾病的中西医结合护理;通讯作者:朱玲(1976-),女,主任护师。研究方向:内科疾病的中西医护理。Email:13851774633@qq.com。
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