【摘要】 目的:探讨认知-信念-行为(CBB)理念导向式管理在老年急性胰腺炎(AP)患者中的应用效果。方法:采用随机数字表法将2017年11月1日～2019年11月30日收治的94例老年AP患者分为观察组和对照组各47例,对照组给予常规护理,观察组给予CBB理念导向式管理;比较两组疾病恢复情况(症状体征缓解时间、尿淀粉酶恢复正常时间、体温恢复时间、肛门排气时间、住院时间)、干预前后患者相关指标水平[肠功能障碍评分、急性生理功能和慢性健康状况评分系统(APACHEⅡ)]、自我效能[采用一般自我效能量表(GSES)]及自护能力[采用自我护理能力量表(ESCA)]。结果:观察组症状体征缓解时间、肛门排气时间及住院时间短于对照组(P <0. 01);干预后,两组肠功能障碍、APACHEⅡ评分低于干预前(P <0. 05),且观察组低于对照组(P <0. 05);干预后,两组GSES、ESCA评分均高于干预前(P <0. 05),且观察组高于对照组(P <0. 05)。结论:CBB理念导向式管理在老年AP患者中应用效果良好,能有效缓解患者临床症状,改善自我效能,提高自护能力。更多还原

【Abstract】 Objective: To investigate the application effect of cognitive-belief-behavior(CBB) concept-guided management in elderly patients with acute pancreatitis(AP). Methods: A total of 94 cases of elderly AP patients admitted from November 1,2017 to November 30,2019 were divided into observation group and control group with 47 cases each. The control group was given routine nursing care,and the observation group was given CBB concept-guided management. The disease recovery(relief time of symptoms and signs,urine amylase returned to normal time,temperature recovery time,anal exhaust time and length of hospital stay),related parameters of patients before and after the intervention level [bowel dysfunction score,Acute Physiology And Chronic Health Evaluation scoring system(APACHEⅡ) ],selfefficacy[the General Self-Efficacy Scale(GSES) ] and self nursing ability [the Exercise of Self-care Agency Scale(ESCA) ] were compared between the two groups. Results: The remission time of symptoms and signs,anal exhaust time and hospitalization time in the observation group were shorter than that in the control group(P < 0. 01). After the intervention,the scores of bowel dysfunction and APACHE Ⅱwere lower than before intervention(P < 0. 05),and the observation group was lower than the control group(P < 0. 05); After intervention,GSES and ESCA scores in both groups were higher than those before intervention(P < 0. 05),and those in the observation group were higher than those in the control group(P < 0. 05). Conclusion: The application of CBB concept-guided management in the elderly patients with AP has a good effect. It can effectively alleviate the clinical symptoms of the patients,improve self-efficacy and improve self-care ability.更多还原