【摘要】 目的探讨积极心理暗示结合基于行为转变理论护理干预在肺结核(PTB)患者中的应用。方法选择2019年1月至2020年1月收治的102例PTB患者为研究对象,采用随机数字表法将其分为对照组和观察组,每组51例。对照组采用常规护理,观察组在常规护理基础上采用积极心理暗示结合基于行为转变理论的护理干预。比较两组患者的干预效果。结果干预后,观察组坚韧、乐观、力量评分均显著高于对照组(P<0.05)。干预后,观察组Herth希望量表评分、SEE评分均显著高于对照组(P<0.05)。观察组与家属分餐隔离,房间常通风,处理咳痰,不面对面与人说话、咳嗽、打喷嚏行为形成率显著高于对照组(P<0.05)。结论积极心理暗示结合基于行为转变理论的护理干预在PTB患者中应用效果较好,可提高心理弹性评分和希望水平及自我效能,促进患者健康行为形成。更多还原

【Abstract】 Objective To explore the application of positive psychological suggestion combined with nursing intervention based on behavior change theory in patients with pulmonary tuberculosis(PTB). Methods A total of 102 PTB patients admitted from January 2019 to January 2020 were selected as the study objects and divided into control group and observation group by random number table method, with 51 cases in each group. The control group adopted routine nursing,while the observation group adopted positive psychological suggestion combined with nursing intervention based on behavior change theory on the basis of routine nursing. The effect of intervention was compared between the two groups. Results After intervention, the tenacity, optimism and strength scores in the observation group were significantly higher than those in the control group(P <0.05). After intervention, Herth hope scale score and SEE score in the observation group were significantly higher than those in the control group(P<0.05). In the observation group, the formation rates of behaviors such as separate meals with family members, keep the room ventilated, deal with expectoration, do not talk to people face to face, cough or sneeze were significantly higher than those in the control group(P<0.05). Conclusion Positive psychological suggestion combined with nursing intervention based on behavior change theory has better application effect in PTB patients, which can improve psychological resilience score, hope level and self-efficacy, and promote the formation of healthy behavior of patients.更多还原