Abstract:

Objective　To observe the effects of CICARE communication mode combined with structural psychological intervention on self-efficacy and self-care ability in patients with acute pancreatitis (AP). Methods　Ninety patients with AP treated at Affiliated Hospital of Jiujiang University from February 2023 to 2 February 2024 were selected for the prospective study, and were divided into a control group and an observation group by the random number table method, with 45 cases in each group. There were 27 males and 18 females in the control group; they were (45.37±3.25) years old. There were 25 males and 20 females in the observation group; they were (46.02±3.28) years old. The control group took routine nursing; in addition, the observation group received the CICARE communication mode and structural psychological intervention. The self-efficacies [General Self-Efficacy Scale (GSES)], self-care ability [Self-Care Scale (ESCA], physical health status [Acute Physiology and Chronic Health Score Assessment (APACHEⅡ)], symptom improvement times, and hospital stays were compared between the two groups by t and χ² tests. Results　Before the intervention, there were no statistical differences in self-efficacy, self-care ability, and physical health status between the two groups (all P>0.05). After the intervention, the scores of GSES, ESCA, and APACHEⅡ in the observation group were better than those in the control group (31.25±5.43 vs. 27.62±4.37, 147.48±7.49 vs. 133.62±6.48, and 10.58±1.38 vs. 12.34±2.54); the times for the disappearance of fever and abdominal pain and hospital stay in the observation group were shorter than those in the control group [(2.86±0.64) d vs. (4.25±0.85) d, (4.26±0.74) d vs. (5.15±0.97) d, and (15.42±0.86) d vs. (18.67±1.25) d]; there were statistical differences (t=3.494, 9.388, 4.084, 8.764, 4.894, and 14.369; all P<0.05). Conclusion　CICARE communication mode combined with structural psychological intervention for patients with AP can improve their self-efficacy and self-care ability, and health status of physical disease, promote their recovery, and shorten the disappearance of symptoms and hospitalization time.

Key words:

Acute pancreatitis, CICARE communication mode, Psychology, Self-efficacy, Self-care ability

摘要：

目的　观察CICARE沟通模式联合结构式心理干预对急性胰腺炎（AP）患者自我效能及自护能力的影响。方法　前瞻性研究，选取2023年2月至2024年2月九江学院附属医院收治的90例AP患者作为研究对象，按照随机数字表法分为对照组（45例）和观察组（45例）。对照组男27例、女18例，年龄（45.37±3.25）岁，实施常规护理；观察组男25例、女20例，年龄（46.02±3.28）岁，在常规护理基础上实施CICARE沟通模式联合结构式心理干预。对比两组自我效能［采用一般自我效能感量表（GSES）评估］、自理能力［采用自我护理能力量表（ESCA）评估］、身体健康状况［采用急性生理学及慢性健康状况评分系统Ⅱ（APACHEⅡ）评估］、症状改善时间及住院时间。统计学方法采用t检验、χ²检验。结果　干预前，两组患者自我效能、自理能力、身体健康状况比较，差异均无统计学意义（均P>0.05）。干预2周后，观察组GSES及ESCA评分均高于对照组［（31.25±5.43）分比（27.62±4.37）分、（147.48±7.49）分比（133.62±6.48）分］，APACHEⅡ评分低于对照组［（10.58±1.38）分比（12.34±2.54）分］，发热、腹痛消失及住院时间均短于对照组［（2.86±0.64）d比（4.25±0.85）d、（4.26±0.74）d比（5.15±0.97）d、（15.42±0.86）d比（18.67±1.25）d］，差异均有统计学意义（t=3.494、9.388、4.084、8.764、4.894、14.369，均P<0.05）。结论　CICARE沟通模式联合结构式心理干预可提高AP患者自我效能及自护能力，改善躯体疾病健康状况，促进疾病康复进程，缩短症状消失及住院时间。

关键词:

急性胰腺炎, CICARE沟通模式, 心理, 自我效能, 自护能力