基于微信平台的延续性护理干预对隐匿型肝性脑病患者的效果评价  

Effect evaluation of continuous nursing intervention based on WeChat platform on patients with covert hepatic encephalopathy

作　　者：高飞 张贤贤 张坦 王辇 梁新颖 李烨 GAO Fei;ZHANG Xianxian;ZHANG Tan;WANG Nian;LIANG Xinying;LI Ye(Henan Provincial People’s Hospital/Henan Provincial Key Medicine Laboratory of Nursing/Henan Provincial People’s Hospital/Zhengzhou University People’s Hospital,Zhengzhou 450003,China;Huaihua Hospital of Traditional Chinese Medicine,Huaihua 418000,China)

机构地区：[1]河南省人民医院,河南省护理医学重点实验室,郑州大学人民医院,河南大学人民医院,河南郑州450003 [2]怀化市中医医院,湖南怀化418000

出　　处：《中国实用神经疾病杂志》2024年第10期1307-1310,共4页Chinese Journal of Practical Nervous Diseases

基　　金：河南省医学科技攻关计划联合共建项目(编号:LHGJ20220078);中华护理学会2022年度科研课题(编号:ZHKYQ202220);中华医学会杂志社护理学科研究课题(编号:CMAPH-NRG2021003)。

摘　　要：目的探讨基于微信平台的延续性护理方案对隐匿性肝性脑病患者睡眠质量、生活质量的影响。方法选取2021-06—2022-06河南省人民医院住院的120例隐匿型肝性脑病患者,采用随机数字表法将其分为对照组和观察组,各60例,给予对照组患者常规的院外随访管理,给予观察组患者基于微信平台的延续性护理管理。采用世界卫生组织生活质量测定简表(WHOQOL-BREF)、匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量和生活质量,以及干预后2组患者再入院率情况。结果干预前观察组患者睡眠质量得分(9.92±3.25)和对照组患者(9.12±3.90)比较,差异无统计学意义(P>0.05),干预后观察组患者睡眠质量得分(6.78±2.61)显著低于对照组(8.53±2.53,P<0.001)。干预前观察组生活质量得分(67.37±13.37)和对照组(69.60±12.69)比较,差异无统计学意义(P>0.05),干预后观察组生活质量得分(76.75±11.12)显著高于对照组(72.00±10.91,P<0.05)。干预后观察组再入院率38.33%,显著低于对照组的58.33%(P<0.001)。结论基于微信平台的延续性护理可显著改善隐匿性肝性脑病患者的睡眠状况,提升其生活质量,降低再入院率,具有一定的临床参考价值。Objective To investigate the effect of continuous nursing program based on WeChat platform on sleep quality and quality of life in patients with covert hepatic encephalopathy.Methods A total of 120 patients with covert hepatic encephalopathy who were hospitalized in Henan Provincial People’s Hospital from June 2021 to June 2022 were selected and randomly divided into control group(n=60)and observation group(n=60).The control group was given routine follow-up nursing,the observation group implemented continuous nursing based on WeChat platform on this basis.Before and after the intervention,the PSQI and WHOQOL-BREF were used to compare the sleep quality and quality of life of the patients in two groups,and the readmission rate of patients in the two groups after intervention.Results Before the intervention,there was no significant difference in the sleep quality score between the observation group(9.92±3.25)and the control group(9.12±3.90,P>0.05).After the intervention,the sleep quality score of the observation group(6.78±2.61)was significantly lower than control group(8.53±2.53,P<0.001).Before the intervention,there was no significant difference on the quality of life score of the observation group(67.37±13.37)and the control group(69.60±12.69,P>0.05).After the intervention,the quality of life score of the observation group(76.75±11.12)was significantly higher than control group(72.00±10.91,P<0.05).The readmission rate in the observation group was 38.33%after the intervention,which was significantly lower than that in the control group(58.33%,P<0.001).Conclusion Continuous nursing based on WeChat platform can significantly improve the sleep status of patients with covert hepatic encephalopathy,improve their quality of life,and reduce the readmission rate,which has certain clinical reference value.

关 键 词：隐匿性肝性脑病 微信 延续性护理 睡眠质量 生活质量 

分 类 号：R473.74[医药卫生—护理学]