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目的 :评价基于行为分阶段转变理论的护理干预在系统性红斑狼疮患者疲劳非药物管理中的作用。方法 :采用抽签法,将95例系统性红斑狼疮患者随机分为实验组(49例)、对照组(46例)。对照组患者采用常规护理干预,实验组根据其所处的行为阶段给予相应的干预措施。结果 :干预3个月后,实验组患者疲劳总分为(6.19±1.96)分,躯体疲劳评分为(3.24±1.31)分,自我效能评分为(3.31±1.34)分;无患者处于无意图期,5例处于意图期,8例处于准备期,27例处于行动期,9例处于维持期,与对照组相比,差异有统计学意义(P<0.05)。结论 :基于行为分阶段转变理论的护理干预可改善系统性红斑狼疮患者疲劳状况,提高其自我效能。
OBJECTIVE: To evaluate the role of nursing intervention in the management of fatigue and non-drug-induced fatigue in patients with systemic lupus erythematosus based on the staged transitional theory of behavior. Methods: Ninety-five patients with systemic lupus erythematosus were randomly divided into experimental group (n = 49) and control group (n = 46) by random sampling method. Patients in the control group were given routine nursing interventions, and the experimental group was given appropriate interventions according to the stage of their behavior. Results: After 3 months’ intervention, the fatigue score of the experimental group was (6.19 ± 1.96) points, the body fatigue score was (3.24 ± 1.31) points and the self-efficacy score was (3.31 ± 1.34) points. , 5 cases were in the period of intention, 8 cases were in preparation, 27 cases were in operation, and 9 cases were in maintenance phase. The difference was statistically significant (P <0.05). CONCLUSION: Nursing intervention based on behavioral staging change theory can improve fatigue and improve self-efficacy in patients with systemic lupus erythematosus.