以需求为导向的阶段护理方案对肝硬化患者的影响  

Effect of demand-oriented stage nursing plan on patients with liver cirrhosis

作　　者：陈丽丽[1] 浦海芹 王红[1] 刘光芹 CHEN Lili;PU Haiqin;WANG Hong;LIU Guangqin(Department of Hepatology,Huaian Fourth People’s Hospital,Jiangsu Province,Huaian223002,China)

机构地区：[1]江苏省淮安市第四人民医院肝病科,江苏淮安223002

出　　处：《中国医药导报》2024年第18期177-180,共4页China Medical Herald

基　　金：江苏省淮安市基础研究计划项目(HABL2023088)。

摘　　要：目的探讨以需求为导向的阶段护理方案对肝硬化患者的影响。方法采取便利抽样法,选取2019年2月至2021年12月江苏省淮安市第四人民医院收治的118例肝硬化患者,按随机数字表法将其分为对照组和研究组,每组59例。对照组给予常规护理,研究组给予以需求为导向的阶段护理方案。比较两组护理前后疾病相关知识掌握程度、自我效能和健康行为。结果118例患者中,2例患者自愿放弃本次调查,1例患者中途转入其他科治疗。对照组最终纳入58例,研究组最终纳入57例。护理前,两组慢性肝病问卷(CLDQ)各维度评分比较,差异无统计学意义(P>0.05);护理后,两组CLDQ各维度评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。护理前,两组一般自我效能感量表(CDSES)各维度评分比较,差异无统计学意义(P>0.05);护理后,两组CDSES各维度评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。护理前,两组健康促进生活方式量表Ⅱ(HPLP-Ⅱ)各维度评分比较,差异无统计学意义(P>0.05);护理后,两组HPLP-Ⅱ各维度评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论以需求为导向的阶段护理方案可有效改善肝硬化患者的疾病相关知识掌握程度、自我效能及健康行为。Objective To explore the effect of demand-oriented stage nursing plan on patients with liver cirrhosis.Methods Convenience sampling was used to select 118 patients with liver cirrhosis admitted to Huaian Fourth People’s Hospital of Jiangsu Province from February 2019 to December 2021.They were divided into the control group and the study group by using random number table method,with 59 cases in each group.The control group received routine care,while the study group received demand-oriented stage nursing plan.The mastery of disease-related knowledge,self-efficacy,and health behavior between the two groups before and after nursing were compared.Results Of the 118 patients,two patients voluntarily abandoned this investigation and one patient was transferred to another department for treatment midway.Fifty-eight cases were finally included in the control group and 57 cases were finally included in the study group.Before nursing,there were no statistically significant differences in the scores of each dimension of chronic liver disease questionnaire(CLDQ)between the two groups(P>0.05).After nursing,CLDQ scores in all dimensions of the two groups were higher than before nursing,and those in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there were no statistically significant differences in the scores of each dimension of chronic disease self-efficacy scale(CDSES)between the two groups(P>0.05).After nursing,CDSES scores in all dimensions of the two groups were higher than before nursing,and those in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there were no statistically significant differences in the scores of each dimension of health promoting lifestyle profile-Ⅱ(HPLP-Ⅱ)between the two groups(P>0.05).After nursing,HPLP-Ⅱscores in all dimensions of the two groups were higher than before nursing,and those in the study group were higher than tho

关 键 词：肝硬化 以需求为导向 护理方案 自我效能 健康行为 

分 类 号：R575.2[医药卫生—消化系统]