三位一体延续护理在肝硬化患者居家用药期间的效果  

Effect of Trinity Continuous Nursing in Patients with Liver Cirrhosis During Home Medication

作　　者：陈亚伟 郭伟[2] 高婷婷 CHEN Yawei;GUO Wei;GAO Tingting(Digestive Minimally Invasive Combined Ward of the First Affiliated Hospital of Henan University,Kaifeng 475000,Henan,China;General Surgery Department of the First Affiliated Hospital of Henan University,Kaifeng 475000,Henan,China)

机构地区：[1]河南大学第一附属医院消化病联合微创病区,河南开封475000 [2]河南大学第一附属医院消化病普通外科,河南开封475000

出　　处：《中国药物滥用防治杂志》2023年第12期2263-2266,共4页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省医学科技攻关联合共建项目(编号:LHGJ20220649)。

摘　　要：目的:探讨三位一体延续护理对肝硬化患者服药依从性的影响。方法:选取河南大学第一附属医院2020年7月—2022年7月收治的116例肝硬化患者作为研究对象,采用随机数字表法分为对照组(n=58)和观察组(n=58)。对照组给予常规延续性护理干预,观察组给予以肝病专科护士为主导的医院-社区-家庭三位一体化的延续性护理干预,比较两组肝硬化知识掌握情况、自我管理能力、服药依从性。结果:观察组肝硬化知识掌握率为94.83%,高于对照组的79.31%(P<0.05);两组干预后患者饮食、日常生活、用药、病情监测管理维度得分高于干预前,且观察组高于对照组(P<0.05);观察组服药依从率为96.55%,高于对照组的84.48%(P<0.05)。结论:三位一体延续护理可以提高肝硬化患者的知识掌握情况和服药依从性,改善其自我管理能力。Objective:To explore the effect of trinity continuous nursing on medication compliance of patients with liver cirrhosis.Methods:A total of 116 patients with cirrhosis admitted to the First Affiliated Hospital of Henan University of Science and Technology from July 2020 to July 2022 were divided into control group(n=58)and observation group(n=58)by random number table method.The control group was given routine continuous nursing intervention,and the observation group was given hospital-community-family three-in-one continuous nursing intervention led by liver disease specialist nurses.The knowledge of cirrhosis,self-management ability and medication compliance were compared between the two groups.Results:The mastery rate of liver cirrhosis knowledge in the observation group was 94.83%,which was higher than 79.31%in the control group(P<0.05).After intervention,the scores of diet,daily life,medication,disease monitoring and management in the two groups were higher than those in the intervention group,and those in the observation group were higher than the control group(P<0.05).The medication compliance rate of the observation group was 96.55%,which was higher than 84.48%of the control group(P<0.05).Conclusion:Trinity continuous nursing can improve the knowledge mastery and medication compliance of patients with liver cirrhosis,and improve their self-management ability.

关 键 词：延续护理 肝硬化 自我管理能力 服药依从性 

分 类 号：R473.5[医药卫生—护理学]