基于家庭赋权的督导跟进护理模式对乙型肝炎肝硬化患者遵医行为和应对方式的影响  

The Impact of a Family Empowerment Supervised Follow-up Nursing Model on the Compliance Behavior and Coping Styles of Patients with Hepatitis B Cirrhosis

作　　者：王姗姗 霍蕊蕊 李若霞[1] WANG Shanshan;HUO Ruirui;LI Ruoxia(Department of Severe Liver Disease,Zhengzhou Sixth People’s Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]郑州市第六人民医院重症肝病科,河南郑州450000

出　　处：《临床研究》2025年第3期170-173,共4页Clinical Research

摘　　要：目的探讨家庭赋权的督导跟进护理模式对乙型肝炎肝硬化患者遵医行为和应对方式的影响。方法选取2022年3月至2023年2月在郑州市第六人民医院收治的120例乙型肝炎肝硬化患者,采用随机数表法将其分为对照组(实施常规护理模式)和家庭赋权组(在对照组的基础上实施家庭赋权的督导跟进护理模式),每组患者各60例,两组患者均持续护理3个月。比较两组患者干预前后遵医行为、自我管理能力、应对方式、生活质量。结果干预后,家庭赋权组患者遵医行为评分高于对照组,差异有统计学意义(P<0.05)。干预后,家庭赋权组患者生活质量综合评定量表(GQOLI-74)各项评分均高于对照组,差异有统计学意义(P<0.05)。干预后,家庭赋权组自我管理各项评分均高于对照组,差异有统计学意义(P<0.05)。干预后,家庭赋权组屈服、回避评分低于对照组,面对评分高于对照组,差异有统计学意义(P<0.05)。结论家庭赋权督导跟进的护理模式可以明显提高患者的生活质量和照顾者的照护能力,增强治疗依从性。Objective To explore the impact of a family empowerment supervised follow-up nursing model on the compliance behavior and coping styles of patients with hepatitis B cirrhosis.Methods A total of 120 patients with hepatitis B cirrhosis admitted to Zhengzhou Sixth People’s Hospital from March 2022 to February 2023 were selected and divided into a control group(receiving routine nursing care)and a family empowerment group(implementing a family empowerment supervised follow-up nursing model on the basis of the control group)using a random number table method,with 60 patients in each group.Both groups received continuous nursing care for 3 months.Compliance behavior,self-management ability,coping styles,and quality of life were compared before and after the intervention.Results After the intervention,the compliance behavior scores of the family empowerment group were significantly higher than those of the control group,with statistical significance(P<0.05).After the intervention,the Generic Quality of life Inventory-74(GQOLI-74)scores of the family empowerment group were all higher than those of the control group,with statistical significance(P<0.05).After the intervention,the selfmanagement scores of the family empowerment group were all higher than those of the control group,with statistical significance(P<0.05).After the intervention,the yielding and avoidance scores of the family empowerment group were lower than those of the control group,while the facing scores were higher than those of the control group,with statistical significance(P<0.05).Conclusion The family empowerment supervised follow-up nursing model can significantly improve patients'quality of life and caregivers'caregiving ability,enhancing treatment compliance.

关 键 词：家庭赋权督导跟进护理模式 乙型肝炎 肝硬化 遵医行为 应对方式 

分 类 号：R473[医药卫生—护理学]