中华护理杂志 ›› 2022, Vol. 57 ›› Issue (23): 2870-2876.DOI: 10.3761/j.issn.0254-1769.2022.23.008
收稿日期:
2022-04-13
出版日期:
2022-12-10
发布日期:
2022-12-05
通讯作者:
卞薇,E-mail:bianwei@Tmmu.edu.cn作者简介:
万君丽:女,本科,主管护师,护士,E-mail:1823547535@qq.com
基金资助:
WAN Junli(), ZHANG Feng, GUO Wenmei, WU Xuemei, BIAN Wei()
Received:
2022-04-13
Online:
2022-12-10
Published:
2022-12-05
摘要:
目的 探讨营养干预决策辅助方案在年龄相关性黄斑变性患者中的应用效果。方法 通过参考国内外文献、专家函询、课题小组讨论以及预试验,基于共同决策三阶段会谈模型构建年龄相关性黄斑变性患者营养干预决策辅助方案,包括团队会谈、选择会谈、决策会谈3个步骤。2021年3月—12月便利选取重庆市某三级甲等综合医院眼科110例年龄相关性黄斑变性患者,采用随机数字表法分为试验组和对照组各55例。试验组在常规健康教育的基础上实施决策辅助方案,对照组给予常规健康教育。干预后分别使用年龄相关性黄斑变性营养相关知识测评问卷、决策准备量表、决策自我效能量表、决策困境量表、综合医院焦虑/抑郁情绪测定表对两组进行评估。结果 试验组干预后营养相关知识测评问卷得分高于对照组(P<0.001),决策准备量表得分高于对照组(P<0.001);决策自我效能量表得分高于对照组(P<0.001),决策困境量表得分低于对照组(P<0.001);试验组焦虑/抑郁情绪测定表得分低于对照组(P<0.05)。结论 应用该研究制订的患者决策辅助方案,可提高患者营养干预相关知识水平,提高患者的决策准备度和决策自我效能,降低患者决策困境水平,改善患者焦虑/抑郁情绪。
万君丽, 张凤, 郭文梅, 吴雪梅, 卞薇. 年龄相关性黄斑变性患者营养干预决策辅助方案的构建及应用[J]. 中华护理杂志, 2022, 57(23): 2870-2876.
WAN Junli, ZHANG Feng, GUO Wenmei, WU Xuemei, BIAN Wei. Development and application of decision aid for age-related macular degeneration patients[J]. Chinese Journal of Nursing, 2022, 57(23): 2870-2876.
表3 干预前后两组年龄相关性黄斑变性营养相关知识与决策准备度得分的比较(分,$\bar{x}$±s)
Table 3 Comparison of nutritional related knowledge and Preparation for Decision Making in 2 groups of patients before and after intervention(score,$\bar{x}$±s)
表4 干预前后两组决策困境与自我效能得分的比较(分,$\bar{x}$±s)
Table 4 Comparison of Decisional Conflict Scale and Decision Making Self-Efficacy Scale in 2 groups of patients before and after intervention(score,$\bar{x}$±s)
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