知信行模式姑息护理教育在终末期肝病患者中应用研究  

Application of KAP Model in Palliative Nursing Education in Patients with End-stage Liver Diseases

作　　者：孙晓云[1] 王莹莹[1] 

机构地区：[1]如东县人民医院,江苏南通226400

出　　处：《临床医药文献电子杂志》2016年第58期11465-11466,11468,共3页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨知信行模式姑息护理教育应用于终末期肝病患者中的意义。方法选取我院2015年6月~2 0 1 6年1 0月的终末期肝病患者及家属3 1例实施知信行模式姑息护理教育。观察教育前后生活质量、情绪状态以及护理依从性。结果出院前夕,患者及家属生活质量评分分别为（83.28±3.08）分、（86.85±3.44）分,患者抑郁、焦虑自评量表评分分别为（29.16±2.03）分、（28.85±2.37）分,患者家属抑郁、焦虑自评量表评分分别为（24.33±2.11）分、（26.15±1.98）分,均优于入院时,差异有统计学意义（P〈0.05）;出院前夕总依从概率为93.55%,明显较入院时更高,差异有统计学意义（P〈0.05）。结论在终末期肝病患者及家属中,知信行模式姑息护理教育应用效果较好,可明显改善生活质量、情绪状态,且能够提高依从性。Objective To explore the significance of KAP model in palliative nursing education for patients with end-stage liver disease.Methods Thirty-one patients with end-stage liver disease and their families underwent palliative nursing education from June 2015 to November 2016.The quality of life, satisfaction and nursing compliance were observed before and after education.Results On the eve of discharge, the quality of life scores of patients and their families were （83.28±3.08） and （86.85±3.44） respectively.The scores of depression and anxiety self- rating scale were （29.16±2.03） （28.85±2.37） （24.33±2.11） and （26.15±1.98）,respectively, which were all better than those on admission,P〈0.05;the total compliance rate on the eve of discharge was 93.55%,which was significantly higher than that of admission Higher,P〈0.05.Conclusion In the patients with end-stage liver disease and their families,the application of KAP model in palliative nursing education is better, which can significantly improve the quality of life,cancer-related fatigue and improve the compliance.

关 键 词：终末期肝病 知信行模式姑息护理教育 应用 

分 类 号：R473.73[医药卫生—护理学]