人文关怀联合奥瑞姆自理理论康复护理在提高乙肝肝硬化患者生存质量中的作用研究  

Role of Humanistic Care Combined with Theoretical Rehabilitation Care in Improving the Quality of Life of Patients with Hepatitis B Cirrhosis

作　　者：何帅英 任晓华 赵勇娜 He Shuaiying;Ren Xiaohua;Zhao Yongna(Department of Infection,The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan,450000,China)

机构地区：[1]郑州大学第一附属医院感染科,河南郑州450000 [2]郑州大学第一附属医院手术室,河南郑州450000

出　　处：《黑龙江医学》2024年第9期1110-1113,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨人文关怀联合奥瑞姆自理理论康复护理在提高乙肝肝硬化患者生存质量中的作用。方法:选取2019年1月-2021年1月郑州大学第一附属医院收治的102例乙肝肝硬化患者作为研究对象,按照住院标号奇偶数字排列法将其分为对照组和观察组,每组各51例。对照组患者给予常规护理干预,观察组患者在对照组的基础上给予人文关怀联合奥瑞姆自理理论康复护理干预,比较两组患者干预前后生存质量、肝功能及疾病知信行水平情况。结果:干预后,观察组患者乏力、全身症状、腹部症状、活动能力、情感功能、焦虑评分均高于对照组患者,差异有统计学意义(t=5.767、6.662、5.183、4.039、10.791、5.119,P<0.05)。干预后,观察组患者肝功能丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、总胆红素(TBIL)水平均低于对照组,白蛋白(ALB)水平高于对照组患者,差异有统计学意义(t=8.457、7.202、5.008、7.921,P<0.05)。干预后,观察组患者知识、态度、行为评分均高于对照组患者,差异有统计学意义(t=6.489、9.266、7.271,P<0.05)。结论:人文关怀联合奥瑞姆自理理论康复护理干预可显著提高乙肝肝硬化患者的生存质量,改善其肝功能水平,提升其疾病知信行水平,对患者获取良好预后具有重要意义。Objective:To explore the role of humanistic care combined with theoretical rehabilitation care in improving the quality of life of patients with hepatitis B cirrhosis.Methods:From January 2019 to January 2021,102 patients with hepatitis B cirrhosis treated in the hospital were selected as the research objects.The partents were divided into expentmental group according to the odevrty of the last number of the ID number,in with 51 cases.Based on the routine nursing intervention in the control group,the humanistic care and Orem self-care theory rehabilitation nursing were given in the observation group,the quality of life,liver function and the level of disease knowledge and belief were observed and compared between the two groups before and after the intervention.Results:After intervention,fatigue,systemic symptoms,abdominal symptoms,activity ability,emotional function and anxiety scores in observation group were higher than those in control group,with statistical significance(t=5.767,6.662,5.183,4.039,10.791,5.119;P<0.05).After the intervention,the levels of ALT,AST and TBIL in the observation group were lower than those in the control group,and the level of ALB was higher than that in the control group,with statistical significance(t=8.457,7.202,5.008,7.921;P<0.05).After the intervention,the scores of knowledge,attitude and behavior in the observation group were higher than those in the control group,with statistical significance(t=6.489,9.266,7.271;P<0.05).Conclusion:Humanistic care and Orem self-care nursing rehabilitation intervention can significantly improve the quality of life of patients with hepatitis B cirrhosis,liver function,improve the level of disease knowledge and practice,they also have important significance for patients to obtain good prognosis.

关 键 词：人文关怀 奥瑞姆自理理论 乙肝肝硬化 生存质量 疾病知信行水平 

分 类 号：R657.31[医药卫生—外科学]