X-Y理论指导的阶段性干预在慢性乙型肝炎肝衰竭病人中的应用  

Application of stage intervention guided by X-Y theory in patients with chronic hepatitis B and liver failure

作　　者：朱红芹[1] 柏雪梅 罗玉琼 沈琼[1] ZHU Hongqin;BAI Xuemei;LUO Yuqiong;SHEN Qiong(ZhuJiang Hospital of Southern Medical University,Guangdong 510282 China)

机构地区：[1]南方医科大学珠江医院,广东510282

出　　处：《护理研究》2025年第7期1155-1160,共6页Chinese Nursing Research

基　　金：国家自然科学基金青年项目,编号:82202624。

摘　　要：目的:观察X-Y理论指导的阶段性干预对慢性乙型肝炎肝衰竭病人的效果。方法:选取2021年3月—2023年12月我院收治的96例慢性乙型肝炎肝衰竭病人,根据入院时间及组间资料可比性原则分为对照组和观察组,各48例。对照组给予常规干预模式,观察组给予X-Y理论指导下的阶段性干预,两组均干预2个月。比较两组疾病认知、疾病不确定感、自我效能、遵医行为、并发症发生率、生存质量及护理满意度。结果:干预后,观察组基础知识、治疗认知、日常管理评分均高于对照组,差异均有统计学意义(P<0.05);复杂性及不确定性评分均低于对照组,差异有统计学意义(P<0.05);症状管理自我效能及疾病管理自我效能评分均高于对照组,差异有统计学意义(P<0.05);按时用药、良好生活习惯及适当运动方面的遵医行为均优于对照组,差异有统计学意义(P<0.05);肝肾综合征和继发性感染等并发症发生率低于对照组,差异有统计学意义(P<0.05);中文版慢性肝病生存质量调查表(CLDQ)评分高于对照组,差异有统计学意义(P<0.05);健康教育、沟通交流方面的护理满意度均高于对照组,差异有统计学意义(P<0.05)。结论:X-Y理论指导的阶段性干预可有效提高慢性乙型肝炎肝衰竭病人疾病认知,减轻病人疾病不确定感,提高自我效能和遵医行为,降低并发症发生风险,提高生活质量。Objective:To observe the effect of staged intervention guided by X-Y theory in patients with chronic hepatitis B and liverfailure.Methods:A total of 96 patients with chronic hepatitis B and liver failure admitted to our hospital from March 2021 to December2023 were selected and divided into the control group and the observation group based on admission time and comparability of data between groups,with 48 patients in each group.The patients in control group received routine intervention mode,while patients in theobservation group received staged intervention guided by X-Y theory.Both groups were intervened for 2 months.The disease cognition,disease uncertainty,self-efficacy,compliance behavior,incidence of complications,quality of life,and nursing satisfaction between twogroups were compared.Results:After intervention,the observation group had higher scores in basic knowledge,treatment cognition,anddaily management than the control group,and the differences were statistically significant(P<0.05);The complexity and uncertaintyscores were lower than those of the control group,and the differences were statistically significant(P<0.05);The scores of symptommanagement self-efficacy and disease management self-efficacy were higher than those of the control group,and the differences werestatistically significant(P<0.05);The adherence to medical treatment in terms of timely medication,good lifestyle habits,and appropriateexercise was superior to the control group,and the differences were statistically significant(P<0.05);The incidence of complications suchas hepatorenal syndrome and secondary infections was lower in the control group,and the difference was statistically significant(P<0.05);Chronic Liver Disease Quality of Life Scale score was higher than that of the control group,and the difference was statistically significant(P<0.05);The nursing satisfaction in terms of health education and communication was higher than that of the control group,and thedifference was statistically significant(P<0.05).Conclusions:The st

关 键 词：慢性乙型肝炎肝衰竭 X-Y理论 阶段性干预 生活质量 并发症 疾病认知 遵医行为 护理 

分 类 号：R47[医药卫生—护理学]