综合护理干预对慢性乙肝患者应对方式和自我效能感的影响

目的：探讨综合护理干预对慢性乙肝患者应对方式和自我效能感的影响。方法将80例慢性乙肝患者随机分为对照组和观察组，每组各40例。对照组予常规护理，观察组在此基础上进行综合护理干预。3周后采用医学应对问卷（MCMQ）和一般自我效能感量表（GSES）比较两组患者应对方式和自我效能感。结果护理干预后，观察组MCMQ得分中面对分量表得分为（27．93±5．84）分，高于对照组，回避、放弃分量表得分为（10．91±5．90），（4．94±1．09）分，均低于对照组，差异有统计学意义（t值分别为4．65，2．24，9．73；P＜0．05）；观察组患者干预前后面对、回避和放弃得分比较差异均有统计学意义（P＜0．01）；对照组干预前后回避和放弃得分比较差异均有统计学意义（P＜0．05）。干预后对照组GSES总分为（20．50±5．50）分，低于观察组（30．35±5．0）分，两组比较差异有统计学意义（ t＝8．38， P＜0．05）；两组患者干预前后GSES 总分及各条目均分组内比较差异均有统计学意义（P＜0．01）。结论综合护理干预能改变慢性乙肝患者的医学应对方式，提高其自我效能感。

Effect of comprehensive nursing intervention on coping style and self-efficacy in chronic hepatitis B patients

Objective To explore the comprehensive nursing intervention on coping style and self -efficacy in chronic hepatitis B patients .Methods Eighty chronic hepatitis B patients were chosen and randomly divided into the control group and the observation group , each with 40 cases.The control group received the routine nursing , and the observation group received the nursing intervention on the basis of routine nursing .The coping style and self-efficacy were compared through the Medical Coping Modes Questionnaire （ MCMQ ） and General Self-efficacy Scale （GSES） between two groups after 3 weeks.Results The subscale scores of MCMQ including face, avoid and abandon were respectively （27.93 ±5.84）, （10.91 ±5.90）, （4.94 ±1.09） in the observation group after the intervention , and were better than those of the control group , and the differences were statistically significant （t=4.65,2.24,9.73, respectively;P〈0.05）.The differences were found in the scores of face, avoid and abandon in the observation group before and after the intervention （ P 〈0.01 ）.The differences were found in the scores of avoid and abandon in the control group before and after the intervention （P〈0.05）.The total scores of GSES was （20.50 ±5.50） in the control group after the intervention , and was lower than （30.35 ±5.0） in the observation group, and the difference was statistically significant （t=8.38, P〈0.05）.Conclusions Nursing intervention can change the coping style and improve their self-efficacy in chronic hepatitis B patients .