基于“互联网+护理服务”的肝硬化患者延续护理模式的构建及验证  

Construction and verification of continuous nursing model for patients with cirrhosis of liver based on"Internet+nursing service"

作　　者：何秋雪 韦素雨 黄丽芝 王巧娜 黄莉 李爽旗 韦惠云[3] 陆柳雪[4] HE Qiuxue;WEI Suyu;HUANG Lizhi;WANG Qiaona;HUANG Li;LI Shuangqi;WEI Huiyun;LU Liuxue(Nursing School,Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;"Internet+Nursing Service"Office,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Department of Gastroenterology,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Nursing Department,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)

机构地区：[1]右江民族医学院护理学院,广西百色533000 [2]右江民族医学院附属医院“互联网+护理服务”办公室,广西百色533000 [3]右江民族医学院附属医院消化内科,广西百色533000 [4]右江民族医学院附属医院护理部,广西百色533000

出　　处：《右江医学》2024年第8期712-718,共7页Chinese Youjiang Medical Journal

基　　金：广西自然科学基金(2020GXNSFAA259038);广西壮族自治区卫生健康委员会自筹经费科研课题(Z-L20220864);百色市科学研究与技术开发计划课题(百科20202516,百科20193216)。

摘　　要：目的探讨基于“互联网+护理服务”的肝硬化患者延续护理模式的应用效果。方法选择2022年3月—2023年3月右江民族医学院附属医院两个院区收治的肝硬化患者86例作为研究对象,随机分为对照组43例和试验组43例。对照组采用肝硬化常规延续护理,试验组在此基础上应用基于“互联网+护理服务”的肝硬化延续护理模式。于出院当天、出院3个月、出院6个月时,采用肝硬化疾病相关知识问卷、遵医行为量表、健康调查简表(SF-36)评分,分别评价患者的疾病认知水平、遵医行为、生存质量;观察出院6个月内两组患者的再住院率。结果两组患者的疾病认知水平、遵医行为、生存质量得分均有随时间变化而上升的趋势,出院3个月、6个月时两组的疾病认知水平差异无统计学意义(P=0.069),而遵医行为、生存质量得分试验组均高于对照组,差异有统计学意义(P<0.05),出院6个月内,试验组再住院率低于对照组(P<0.05)。结论基于“互联网+护理服务”的肝硬化患者延续护理模式可提高患者的遵医行为、生存质量,降低再住院率。Objective To explore the application effect of continuous nursing mode for patients with cirrhosis of liver based on"Internet+nursing service".Methods From March 2022 to March 2023,86 patients with cirrhosis of liver admitted to two branches of the Affiliated Hospital of Youjiang Medical University for Nationalities were randomly divided into control group(43 cases)and experimental group(43 cases).The control group were given routine nursing of cirrhosis of liver,and based on which the experimental group were given continuous nursing mode of patients with cirrhosis of liver based on"Internet+nursing service".On the day of discharge,3 months,and 6 months of discharge,disease cognition levels,compliance behaviors,and quality of life of the patients were evaluated by knowledge questionnaire related to liver cirrhosis,short-form health survey,and quality of life scale(SF-36),respectively.In addition,the rehospitalization rates of the two groups within 6 months after discharge were observed.Results The disease cognition levels,compliance behaviors,and quality of life scores of both groups showed an upward trend over time.There was no statistically significant difference in disease cognition levels between the two groups at 3 and 6 months after discharge(P=0.069),while the compliance behaviors and quality of life scores of the experimental group were higher than those of the control group,and difference was statistically significant(P<0.05).Within 6 months after discharge,the rehospitalization rate of the experimental group was lower than that of the control group(P<0.05).Conclusion The continuous nursing mode of patients with cirrhosis of liver based on"Internet+nursing service"can improve patients'compliance behaviors,quality of life,and reduce their rehospitalization rates.

关 键 词：“互联网+护理服务” 肝硬化 疾病认知 遵医行为 生存质量 

分 类 号：R473.2[医药卫生—护理学]