人本位护理模式对乙型肝炎患者CLDQ评分、遵医行为及主观幸福感评分的影响  

Influence of humanistic nursing mode on CLDQ score,compliance behavior,and subjective well-being score of hepatitis B patients

作　　者：罗平娟 杨继红[2] 关敏[3] LUO Ping-juan;YANG Ji-hong;GUAN Min(Department of Physical Examination,Development and Planning Office,Baoji 721006,Shaanxi,CHINA;Department of Physical Examination,Department of Medical Imaging,Baoji 721006,Shaanxi,CHINA;Department of Physical Examination,Baoji Central Hospital,Baoji 721006,Shaanxi,CHINA)

机构地区：[1]宝鸡市中心医院健康体检科,陕西宝鸡721006 [2]宝鸡市中心医院发展规划科,陕西宝鸡721006 [3]宝鸡市中心医院医学影像科,陕西宝鸡721006

出　　处：《海南医学》2023年第19期2876-2880,共5页Hainan Medical Journal

摘　　要：目的探讨人本位护理模式对乙型肝炎患者慢性肝病问卷(CLDQ)评分、遵医行为及主观幸福感的影响。方法选取2015年9月至2018年9月于宝鸡市中心医院感染科就诊的乙型肝炎患者118例,按照随机数表法分为对照组和观察组,每组59例。对照组患者给予常规护理,观察组患者给予人本位护理,所在患者均随访3个月。比较两组患者入院时、出院时及出院3个月后的CLDQ评分、主观幸福感指数和遵医行为;比较两组患者出院时的护理满意度。结果出院时及出院3个月后,两组患者CLDQ评分中的各项评分明显高于入院时,出院3个月后明显高于出院时,且观察组患者出院时及出院3个月后的CLDQ评分各项评分和总分明显高于对照组,差异均有统计学意义(P<0.05);出院时及出院3个月后,两组患者的遵医行为占比明显高于入院时,出院3个月后明显高于出院时,且观察组患者出院时及出院3个月后的遵医行为占比明显高于对照组,差异均有统计学意义(P<0.05);出院时及出院3个月后,两组患者主观幸福感得分明显低于入院时,且观察组患者出院时及出院3个月后的主观幸福感得分明显低于对照组,差异均有统计学意义(P<0.05);出院时,观察组患者的护理满意度为84.75%,明显高于对照组的55.93%,差异有统计学意义(P<0.05)。结论人本位护理模式用于乙型肝炎患者可显著改善患者的生活质量,提高治疗依从性、主观幸福感和护理满意度。Objective To explore the effect of humanistic nursing mode on the chronic liver disease questionnaire(CLDQ)score,medical compliance behavior,and subjective well-being score of patients with hepatitis B.Methods One hundred and eighteen patients with hepatitis B who attended the Department of Infection,Baoji Central Hospital from September 2015 to September 2018 were selected and classified into two groups according to random number table methods,each with 59 cases.Control group received conventional nursing care,while the observation group adopted humanistic nursing mode.A three-month follow up was conducted on all patients.CLDQ scores and subjective well-being index were compared between the two groups at admission,discharge,and 3 months after discharge.The nursing satisfaction at discharge was also compared between two groups,and the compliance behavior at admission,discharge,and 3 months after discharge was compared between the two groups.Results The CLDQ scores of patients in both groups at discharge and 3 months after discharge were higher than those at admission,and the scores at 3 months after discharge were higher than those at discharge;The CLDQ scores and total scores of patients in the observation group at discharge and 3 months after discharge were higher than those in the control group;the differences were statistically significant(P<0.05).At the time of discharge and 3 months after discharge,the proportion of compliance behavior of the two groups was significantly higher than that at admission,and the proportion at 3 months after discharge was significantly higher than that at the time of discharge;the proportion of the observation group at the time of discharge and 3 months after discharge was significantly higher than that of the control group;the differences were statistically significant(P<0.05).At the time of discharge and 3 months after discharge,the scores of subjective well-being of patients in both groups were significantly lower than those at admission,and the scores at 3 months after disch

关 键 词：人本位护理模式 乙型肝炎 慢性肝病问卷评分 遵医行为 主观幸福感 

分 类 号：R473.5[医药卫生—护理学]