基于行为转变理论模式的延伸护理对乙肝后肝硬化腹水患者的影响  

Effect of Extended Nursing Care based on Behavioral Change Theory Model on Patients with Ascites due to Cirrhosis after Hepatitis B

作　　者：刘晓玉 郭现平 尚学敏 卢喜玲 Liu Xiaoyu;Guo Xianping;Shang Xuemin(Henan Provincial People′s Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]河南省人民医院,河南省护理重点实验室,郑州大学人民医院,河南郑州450000

出　　处：《齐鲁护理杂志》2024年第19期31-34,共4页Journal of Qilu Nursing

摘　　要：目的:探讨基于行为转变理论模式的延伸护理对乙肝后肝硬化腹水患者的影响。方法:选取2021年9月1日~2022年9月30日进行治疗的100例乙肝后肝硬化腹水患者作为研究对象。采用随机双盲法将患者分为对照组和观察组各50例,对照组进行延伸护理,观察组在对照组的基础上行基于行为转变理论模式的延伸护理;比较两组护理前后肝功能指标[包括天冬氨酸转氨酶(AST)、总胆红素(TBLL)、丙氨酸转氨酶(ALT)]、生活质量[采用世界卫生组织生活质量量表(WHOQOL-100)]、健康状况[采用欧洲五维健康量表(EQ-5D)]以及自我效能感[采用一般自我效能感量表(GSES)]和自我管理能力[采用成人健康自我管理能力量表(AHSMSRS)]。结果:护理后,两组AST、TBLL、ALT表达水平均低于护理前(P<0.05),且观察组低于对照组(P<0.05,P<0.01);观察组WHOQOL-100中生理领域、环境领域、心理领域、社会关系领域、独立性领域以及精神支柱评分均高于对照组(P<0.01);护理后,两组EQ-5D中行动能力、自我照顾能力、日常生活能力、不适或疼痛感、焦虑或抑郁以及EQ-VAS评分均优于护理前(P<0.05),且观察组优于对照组(P<0.05,P<0.01);护理后,两组GSES和AHSMSRS评分均高于护理前(P<0.05),且观察组高于对照组(P<0.01)。结论:基于行为转变理论模式的延伸护理能有效改善乙肝后肝硬化腹水患者的临床指标,提高患者的生活质量水平和健康状况,增强患者的自我效能感和自我管理行为,加快机体康复。Objective:To explore the effect of extended nursing care based on behavioral change theory model on patients with ascites due to cirrhosis after hepatitis B.Methods:A total of 100 patients with ascites due to cirrhosis who were treated from September 1,2021 to September 30,2022 were selected as the research objects.The patients were divided into the control group and the observation group by random double-blind method,with 50 cases in each group.The extended nursing care was given to the control group,and the extended nursing care based on behavioral change theory model was implemented in the observation group.The liver function indexes(including AST,TBLL and ALT),quality of life(WHOQOL-100),health status(EQ-5D),self-efficacy(GSES)and self-management ability(AHSMSRS)were compared between the two groups before and after nursing care.Results:After nursing care,the expression levels of AST,TBLL and ALT in the two groups were lower than those before nursing care(P<0.05),and those in the observation group were lower than the control group(P<0.05,P<0.01).The scores of physiological,environmental,psychological,social relationship and independence field and spiritual support in WHOQOL-100 in the observation group were higher than those in the control group(P<0.01).After nursing care,the mobility,self-care ability,daily living ability,discomfort or pain,anxiety or depression in EQ-5D and EQ-VAS scores of the two groups were better than those before nursing care(P<0.05),and those in the observation group was better than the control group(P<0.05,P<0.01).After nursing care,the GSES and AHSMSRS scores of the two groups were higher than those before nursing care(P<0.05),and the scores of the observation group were higher than those of the control group(P<0.01).Conclusion:Extended nursing care based on the behavioral change theory model can effectively improve the clinical indicators of patients with ascites due to cirrhosis after hepatitis B,improve the quality of life and health status of the patients,enhance their self-manag

关 键 词：行为转变理论模式 延伸护理 乙肝 肝硬化腹水 

分 类 号：R473.5[医药卫生—护理学]