基于Snyder希望理论的护理干预结合奥马哈系统个案管理模式在肝硬化伴腹水中的应用效果及对自我管理能力、希望水平的影响  

Application effect of nursing intervention based on Snyder hope theory combined with Omaha system case management model in liver cirrhosis with ascites and its influences on self-management ability and hope level

作　　者：刘萌萌 杨家瑛 LIU Mengmeng;YANG Jiaying(People's Hospital of Tongchuan(South Courtyard),Tongchuan 727100,China)

机构地区：[1]铜川市人民医院(南院),陕西铜川727100

出　　处：《临床医学研究与实践》2023年第4期165-167,共3页Clinical Research and Practice

摘　　要：目的探讨基于Snyder希望理论的护理干预结合奥马哈系统个案管理模式在肝硬化伴腹水中的应用价值。方法选取2019年3月至2021年3月我院收治的78例肝硬化伴腹水患者作为研究对象,按照随机数字表法将其分为对照组和观察组,各39例。对照组给予常规护理,观察组在对照组基础上给予基于Snyder希望理论的护理干预结合奥马哈系统个案管理模式。比较两组的干预效果。结果干预1个月后,观察组的饮食、用药、病情监测、日常生活及Herth希望量表(HHI)各维度评分高于对照组(P<0.05)。观察组的病情控制总有效率高于对照组(P<0.05)。结论基于Snyder希望理论的护理干预结合奥马哈系统个案管理模式有助于提高肝硬化伴腹水患者的自我管理能力和希望水平,提高病情控制效果。Objective To explore the application value of nursing intervention based on Snyder hope theory combined with Omaha system case management model in liver cirrhosis with ascites.Methods A total of 78 cases of liver cirrhosis with ascites patients admitted in our hospital from March 2019 to March 2021 were selected as the research objects and divided into control group and observation group according to the random number table method,with 39 cases in each group.The control group was given routine nursing,and the observation group was given nursing intervention based on Snyder hope theory combined with Omaha system case management model on the basis of the control group.The intervention effect of the two groups was compared.Results After 1 month of intervention,the scores of diet,medication,condition monitoring,daily life and Herth Hope Index(HHI)in the observation group were higher than those in the control group(P<0.05).The total effective rate of disease control in the observation group was higher than that in the control group(P<0.05).Conclusion Nursing intervention based on Snyder hope theory combined with Omaha system case management model is helpful to improve the self-management ability and hope level of liver cirrhosis with ascites patients,and improve the effect of disease control.

关 键 词：基于Snyder希望理论的护理干预 奥马哈系统个案管理模式 肝硬化 腹水 

分 类 号：R473[医药卫生—护理学]