肝硬化患者自我管理效能干预的效果观察  

Efficacy observation of self-management intervention in patients with cirrhosis

作　　者：宋晓雪[1] 范志勇[1] 陈玺[1] 吴武军[1] 

机构地区：[1]陕西省人民医院肝胆外科,陕西西安710068

出　　处：《武警后勤学院学报（医学版）》2017年第9期773-776,共4页Journal of Logistics University of PAP（Medical Sciences）

摘　　要：【目的】探讨自我管理效能干预在肝硬化患者中的应用效果。【方法】选取2016年1月至2016年10月入住我科的肝硬化患者86例,随机分为观察组和对照组,每组43例,对照组给予常规护理,观察组在常规护理的基础上实施自我管理效能干预,比较两组入院第1天及出院后第6周末自我管理能力评分、生存质量评分。【结果】入院第1天观察组和对照组自我管理能力和生存质量得分没有明显差别,出院后第6周末两组自我管理能力和生存质量比较,观察组自我管理各条目得分分别为:日常生活管理(22.58±3.14)分,饮食管理(24.56±1.90)分,病情监测(15.71±1.66)分,用药管理(16.41±1.51)分,显著高于对照组的(17.71±3.68)分、(22.04±2.08)分、(11.18±1.88)分、(12.84±1.69)分(P<0.05)。观察组生存质量得分(59.93±4.76)分,显著低于对照组的(93.08±8.12)分(P<0.05)。【结论】应用自我管理效能干预,可有效提高肝硬化患者自我管理能力及生存质量,对促进康复有积极作用。[Objective] To explore the application efficacy of self-management intervention in patients with cirrhosis. [Methods] Eighty six patients with cirrhosis in our department from Jan 2016 to Oct 2016 were selected and divided randomly to two groups. Patients in the the control group （n=43） were given routine nursing, but those in the observation group （n=43） received routine service plus self-management intervention. Self-management score and quality-of-life score were compared between the two groups on the 1st day after admission and 6th weekend after discharge. [ Results] The scores of self-management and quality-of-life in the observation group were significantly higher than those in the control group on the 6th weekend after discharge （P〈 0.05）. [Conclusion] Self- management intervention can effectively improve self-management ability and quality of life in patients with cirrhosis and have a positive effect on promoting rehabilitation.

关 键 词：肝硬化 自我管理能力 生存质量 

分 类 号：R47[医药卫生—护理学]