基于i-PARIHS概念框架的护理模式对肝移植患者术后服药依从性及并发症发生率的影响  

The Impact of the Nursing Model Based on the i-PARIHS Conceptual Framework on Medication Adherence and Complication Rates in Patients after Liver Transplantation

作　　者：钱皓月 陈保菊[1] 王慧敏[1] 李颜含 QIAN Haoyue;CHEN Baoju;WANG Huimin(Department of Hepatobiliary and Pancreatic Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,China)

机构地区：[1]郑州大学第一附属医院肝胆胰外科,河南郑州450000

出　　处：《航空航天医学杂志》2024年第5期588-591,共4页Journal of Aerospace medicine

基　　金：河南省医学科技攻关计划联合共建项目LHGJ20221031。

摘　　要：目的回顾性分析基于健康服务领域研究成果应用的行动促进(i-PARIHS)概念框架的护理模式在肝移植中的临床应用效果。方法选取我院2021年01月到2023年06月180例肝移植患者,按护理方法不同分为i-PARIHS组(n=90)、对照组(n=90),对照组行常规护理,i-PARIHS组在此基础上行基于i-PARIHS概念框架的护理模式。比较2组术后服药依从性[自知力及治疗态度问卷(ITAQ)]、疼痛情况[视觉模拟评分法(VAS)]、并发症发生率、睡眠质量[匹兹堡睡眠指数量表(PSQI)]、生活质量[生活质量量表(GQOL-74)]。结果组内分析:2组干预后ITAQ评分均较干预前升高(P<0.05);组间分析:干预后i-PARIHS组ITAQ评分升高幅度大于对照组(P<0.05);组内分析:2组干预后VAS评分均较干预前降低(P<0.05);组间分析:干预后i-PARIHS组VAS评分降低幅度大于对照组(P<0.05);2组并发症发生率比较,差异无统计学意义(P>0.05);干预后2组PSQI评分较干预前降低,i-PARIHS组低于对照组(P<0.05);干预后2组GQOL-74评分较干预前升高,i-PARIHS组高于对照组(P<0.05)。结论对肝移植患者实施基于i-PARIHS概念框架的护理模式,能提高术后服药依从性,减轻疼痛情况,从而提高睡眠质量、生活质量。Objective To retrospectively analyze the clinical application effect of the care model based on the i-PARIHS conceptual framework of the application of research results in the field of health services in liver transplantation.Methods A total of 180 patients with liver transplantation in our hospital from January 2021 to June 2023 were selected and divided into i-PARIHS group(n=90)and control group(n=90)according to different nursing methods.The control group received routine nursing,and the i-PARIHS group received nursing mode based on i-PARIHS conceptual framework.Postoperative medication compliance[Insight and Treatment Attitude Questionnaire(ITAQ)],Pain condition[Visual Analogue Scale(VAS)],complication rate,sleep quality[Pittsburgh Sleep Index Scale(PSQI)]and quality of life[Quality of life scale(GQOL-74)]of the two groups were compared.Results In group analysis:ITAQ scores in 2 groups were higher after intervention than before intervention(P<0.05).Inter-group analysis:the ITAQ score of i-PARIHS group increased more than that of control group after intervention(P<0.05).Intra-group analysis:VAS scores in both groups were lower after intervention than before intervention(P<0.05);Inter-group analysis:The VAS score of i-PARIHS group decreased more than that of control group after intervention(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).After intervention,the PSQI score of the 2 groups was lower than that before intervention,and the i-PARIHS group was lower than that of the control group(P<0.05).After intervention,the GQOL-74 score in 2 groups was higher than that before intervention,and that in i-PARIHS group was higher than that in control group(P<0.05).Conclusions The nursing model based on i-PARIHS conceptual framework for liver transplantation patients can improve postoperative medication compliance,relieve pain,and improve sleep quality and quality of life.

关 键 词：健康服务领域研究成果应用的行动促进框架 肝移植 服药依从性 睡眠质量 生活质量 

分 类 号：R473.5[医药卫生—护理学]