家庭护理干预在肝硬化腹水患者中的应用  

Application of family nursing intervention strategy among patients with hepatocirrhosis ascites

作　　者：田瑞英[1] 李燕[1] 

机构地区：[1]江苏省徐州市传染病医院传染科, 221004

出　　处：《中华现代护理杂志》2013年第36期4473-4476,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨肝硬化腹水患者家庭护理干预策略及应用效果。方法将100例患者及配对家属随机分为干预组和对照组各50例。对照组患者及家属进行常规出院指导，干预组患者及家属在对照组的基础上出院后通过定期电话随访及家访进行系统的家庭护理干预，6个月后通过电话随访、家访及门诊复诊的方式比较两组干预效果。结果干预组患者的正确用药率为92．0％，对肝硬化腹水疾病知识完全知晓率为96．0％，均高于对照组（62．0％，64．0％）；干预组患者消化道出血、肝性脑病并发症的发生率分别为10．0％，12．0％，均低于对照组（28．0％，30．0％）；两组比较差异有统计学意义（χ2值分别为12．705，16．000，5．263，4．883；P＜0．05）。两组患者预后情况及再入院率、再入院次数比较差异均有统计学意义（P＜0．05）。结论适当的家庭护理干预，可提高患者及家属对疾病知识知晓率，发挥家属作用，提高社会支持力度，进而提高患者的遵医行为，减少并发症的发生。Objective To study the implementation effects of family nursing intervention strategies among patients with hepatocirrhosis ascites .Methods A total of 100 cases of patients and pairing families , according to the discharge order , were randomly divided into intervention group and control group with 50 cases in each group .The patients in control group and their family members were followed the routine discharge guidance, while the patients in intervention group and their family members were based on the family nursing intervention strategy , which were discharged through the process of regular telephone follow-up and home visits . After six months, the medical compliance behaviors , the awareness rate of knowledge after healing and complications between the control group and the intervention group were compared by telephone follow -up, home visits and outpatient reviews .Results Totals of 92%intervention group patients followed the correct medication and the rate of disease knowledge about hepatocirrhosis ascites was 96% among intervention group of patients and their family members , which were significantly higher than the control group . The incidence of gastrointestinal hemorrhage and hepatic encephalopathy among intervention group were 10% and 12%, respectively , which were significantly lower than the control group .There were significant differences between two groups （χ2 =12.705, 16.000, 5.263, 4.883, respectively;P〈0.05）.Conclusions The proper family nursing intervention strategy that helps to exert the effect of family members and enhance their social support can also improve the disease knowledge of patients and their relatives .Besides, it increases the medical compliance behaviors and decreases the incidence of complications .

关 键 词：肝硬化腹水 健康教育 遵医行为 家庭护理干预 

分 类 号：R473.2[医药卫生—护理学]