连续性护理管理干预理念对乙型肝炎肝硬化失代偿患者的应用效果分析  

Analysis of Application Effect of Continuous Nursing Management Intervention Concept on Patients with Decompensated Hepatitis B Cirrhosis

作　　者：龚晓玲 殷明华 何兆霞 Gong Xiao-ling;Yin Ming-hua;He Zhao-xia(Hepatobiliary Department,Fangxian Hospital of Traditional Chinese Medicine,Fangxian 442100,Hubei Province,China)

机构地区：[1]房县中医院肝胆科,湖北房县442100

出　　处：《中国社区医师》2023年第7期122-124,共3页Chinese Community Doctors

摘　　要：目的:探讨连续性护理管理干预理念对乙型肝炎肝硬化失代偿患者的应用效果。方法:选取2021年5月—2022年5月房县中医院收治的120例乙型肝炎肝硬化失代偿患者为研究对象,按照双盲法分为常规组与研究组,各60例。常规组给予常规护理管理,研究组给予连续性护理管理。比较两组患者依从性、并发症发生情况、自我护理能力、满意度。结果:研究组总依从率高于常规组,差异有统计学意义(P<0.05)。研究组并发症发生率低于常规组,差异有统计学意义(P<0.05)。护理前,两组自我护理能力量表(ESCA)评分比较,差异无统计学意义(P>0.05);护理后,两组ESCA评分均高于护理前,且研究组高于常规组,差异有统计学意义(P<0.05)。研究组满意度高于常规组,差异有统计学意义(P<0.05)。结论:连续性护理管理干预理念应用于乙型肝炎肝硬化失代偿患者中能提高治疗依从性、减少并发症发生率,改善自我护理能力和满意度。Objective:To explore the application effect of the continuous nursing management intervention concept on patients with decompensated hepatitis B cirrhosis.Methods:A total of 120 patients with decompensated hepatitis B cirrhosis admitted to Fangxian Hospital of Traditional Chinese Medicine from May 2021 to May 2022 were selected as research subjects.They were divided into conventional group and study group according to the double-blind method,with 60 patients in each group.Conventional nursing management was given to the conventional group and continuous nursing management was given to the study group.Patient's compliance,complication rate,self-care ability and satisfaction were compared between the two groups.Results:The total compliance rate in the study group was higher than that in the conventional group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the conventional group,and the difference was statistically significant(P<0.05).There was no significant difference in Exercise of Self-Care Agency(ESCA)scale score between the two groups before nursing(P>0.05).The ESCA score in two groups after nursing was higher than that before nursing,and the study group was higher than the conventional group,and the difference was statistically significant(P<0.05).The satisfaction in the study group was higher than that in the conventional group,and the difference was statistically significant(P<0.05).Conclusion:The application of the concept of continuous nursing management intervention in patients with decompensated hepatitis B cirrhosis can improve treatment compliance,reduce the incidence of complications,and improve self-care ability and satisfaction.

关 键 词：乙型肝炎 连续性护理管理 肝硬化失代偿 依从性 满意度 

分 类 号：R473.5[医药卫生—护理学]