延续性健康教育路径对肝硬化患者出院后生存状态的影响

The impact and related research of the continuity education pathway on the survival status of patients with liver cirrhosis in xinjiang region

目的了解延续性健康教育路径对肝硬化患者出院后的生存状态的影响,为提高肝硬化患者生活质量提供有效的健康教育方法。方法将124例肝硬化患者分为研究组与对照组。研究组对患者出院后仍进行系统、动态、连续而有针对性的健康管理。对照组实施肝硬化出院健康指导。观察两组患者出院后的并发症、焦虑状态及生存质量。结果 (1)研究组的上消化道出血、感染、肝性脑病等并发症的发生率小于对照组,差异有统计学意义(P<0.05);(2)研究组的焦虑自评量表(SAS)得分小于对照组,生活质量得分高于对照组,差异有统计学意义(P<0.05);(3)文化程度及合并症是影响患者SAS得分的独立因素,文化程度和并发症是影响患者生活质量的独立因素(P<0.05)。结论延续性健康教育路径可以有效减少肝硬化患者的并发症、提高患者的生活质量。

Objective To understand the impact on survival status after discharge with liver cirrhosis patients to continuity health education path, in order to improve the quality of patients life and provide effective nursing method. Methods To divided into the experimental group and control group from 124 patients with liver cirrhosis ,the patients in experi- mental group were be system, dynamic, continuous and targeted health management after discharge, and control group im- plement routine nursing and health education, and observed the complications, anxiety state and life quality of two groups patients. Results （ 1 ） The incidence of complications such as upper gastrointestinal bleeding, infection, hepatic en- cephalopathy of experimental groupis were less than the control group, the differences were statistically significant （ P 〈 0.05 ） ; （ 2 ） The SAS score in the experimental group was lower than the control group, and the quality of life was higher than the control group, the difference was statistically significant （ P 〈 0.05 ） ; （ 3 ） Nationality, culture degree and the complications were the independent factors affecting patients with SAS scores, culture degree and the complications were the independent factors influencing the patients life quality （ P 〈 0.05 ）. Conclusion Continuity health education path can effectively reduce the complications of liver cirrhosis patients and improve the patient＇s quality of life.