医护协同导向的对等网络模式对幽门螺杆菌阳性患者护理管理的研究  

Research on the Nursing Management of Helicobacter Pylori-Positive Patients With a Peer-to-Peer Network Model Guided by Doctors and Nursing Collaboration

作　　者：卢娜[1] 许雪清[1] 胡王英 LU Na;XU Xueqing;HU Wangying(Health Management Center,Liuzhou People′s Hospital,Liuzhou Guangxi 545000,China)

机构地区：[1]柳州市人民医院健康管理中心,广西柳州545000

出　　处：《中国卫生标准管理》2024年第24期191-194,共4页China Health Standard Management

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20210285)。

摘　　要：目的探讨医护协同导向的对等网络模式对幽门螺杆菌菌(Helicobacter pylori,Hp)阳性患者的护理管理效果。方法选取柳州市人民医院2021年7月—2023年6月体检人群中Hp阳性400例患者为研究对象,按照随机数字表法随机分为试验组与对照组,各200例。试验组使用医护协同导向的对等网络模式实施护理管理,对照组使用传统护理模式。对2组患者服药依从性、患者的复诊率、Hp根除率率及Hp复发率进行观察。结果观察组患者经护理后治疗依从性评分为(7.33±2.62)分,高于对照组的(6.01±1.13)分,差异有统计学意义(P<0.05)。观察组患者Hp根除率为96.0%,复发率为4.0%,高于对照组的75.5%、24.5%,差异均有统计学意义(P<0.05)。干预后,观察组的基本知识与理念、健康生活方式及行为、基本技能分别为(23.5±1.6)分、(26.6±2.1)分、(10.3±2.5)分,均高于对照组的(20.2±3.6)分、(23.6±4.9)分、(8.9±1.9)分,差异有统计学意义(P<0.05)。结论医护协同导向的对等网络模式可有效提升Hp阳性患者的服药依从性,能够达到更好的Hp根治效果。Objective To explore the effect of nursing management of Helicobacter pylori(Hp)positive patients by peer-to-peer network model guided by doctors and nurses collaboration.Methods A total of 400 patients with Hp positive in physical examination in Liuzhou People′s Hospital from July 2021 to June 2023 were randomly divided into observation group and control group,with 200 cases in each group.The observation group used the peer-to-peer network model guided by medical cooperation to implement nursing management,while the control group used the traditional nursing mode.The drug compliance,revisit rate,Hp eradication rate and recurrence rate of Hp in the two groups were observed.Results The compliance score of the observation group patients after nursing was(7.33±2.62)points,which was higher than(6.01±1.13)points of the control group,the difference was statistically significant(P<0.05).The Hp eradication rate in the observation group was 96.0%,and the recurrence rate was 4.0%,which were higher than 75.5%and 24.5%of the control group,the differences were statistically significant(P<0.05).After intervention,the basic knowledge and concepts,healthy lifestyle and behavior,and basic skills of the observation group were(23.5±1.6)points,(26.6±2.1)points,and(10.3±2.5)points,respectively,which were higher than those of the control group(20.2±3.6)points,(23.6±4.9)points,and(8.9±1.9)points,and the differences were statistically significant(P<0.05).Conclusion The peer-to-peer network model guided by collaboration between doctors and nurses can effectively improve the medication compliance of Hp positive patients and achieve a better radical cure effect of Hp.

关 键 词：医护协同导向 对等网络模式 幽门螺杆菌阳性 护理管理 复发率 传统护理 

分 类 号：R473[医药卫生—护理学]