延续性护理对肝硬化患者自我护理能力和生活质量的影响

Effect of Continuous Nursing on Self-care Ability and Quality of Life in Patients with Liver Cirrhosis

目的将延续性护理执行于肝硬化患者中,分析及评估对患者自我护理能力以及生活质量的影响作用。方法该文数据研究资料源自于方便选取2015年4月—2017年2月该院收治的60例肝硬化患者,分组方法参考随机法,一组收入30例,常规护理实施于参照组,延续性护理实施于实验组,统计并研究两组患者出院时及出院6个月时的自我护理能力相关指标评分值、生活质量相关指标评分值。结果参照组患者出院6个月时的健康知识水平评分值、自我责任感评分值、自我概念评分值、自我护理技能评分值等自我护理能力相关指标评分值相较于实验组患者计算值(41.0±5.5)分、(16.0±3.3)分、(21.4±4.0)分、(22.0±4.4)分vs(45.0±6.2)分、(24.7±4.0)分、(25.0±5.2)分、(26.4±5.0)分,差异有统计学意义(t=2.643 4、9.189 3、3.005 5、3.618 4,P=0.010 5、0.000 0、0.003 9、0.000 6<0.05),参照组患者出院6个月时的心理功能评分值、躯体功能评分值、社会功能评分值、物质状态功能评分值等生活质量相关指标评分值相较于实验组患者计算值(52.4±6.0)分、(55.0±5.2)分、(54.6±6.0)分、(60.2±7.0)分相较于(78.0±7.1)分、(79.2±6.0)分、(77.0±6.7)分、(79.5±8.0)分,差异有统计学意义(t=15.084 0、16.694 2、13.641 4、9.944 4,P=0.000 0、0.000 0、0.000 0、0.000 0<0.05)。结论对肝硬化患者实行延续性护理可以改善其自我护理能力,并提升患者的生活质量。

Objective To perform continuation nursing in patients with cirrhosis and analyze and evaluate the influence of self-care ability and quality of life on patients. Methods Data from this study were obtained from 60 patients with cirrhosis who were treated in the hospital from April 2015 to February 2017 were convenient selected. The randomized method was divided into groups. There was a group of 30 patients with income. Routine nursing was performed in the reference group.Continuing nursing Implemented in the experimental group, statistically and researched the self-care ability-related index scores and the quality of life-related index scores of the two groups of patients at the time of discharge and hospital discharge. Results The scores of self-care ability-related index, such as the health knowledge level score, self-responsibility score, self-concept score, and self-care skill score, were lower in the reference group than those in the experimental group（41.0 ±5.5）points,（16.0 ±3.3） points,（21.4 ±4.0）points,（22.0 ±4.4）points, vs（45.0 ±6.2）points,（24.7 ±4.0）points,（25.0 ±5.2）points,the difference was statistically signifiant（26.4±5.0）points,（t=2.643 4, 9.189 3, 3.005 5, 3.618 4, P=0.010 5, 0.000 0,0.003 9, 0.000 6〈 0.05）. Reference group patients＇ mental function scores, physical function scores, social function scores,and substance status at the time of discharge from hospital at 6 months, the scores of quality of life-related indicators such as functional scores were compared with those of the experimental group（52.4±6.0）points,（55.0±5.2）points,（54.6±6.0）points,（60.2±7.0）points vs（78.0±7.1）points,（79.2±6.0）points,（77.0±6.7）points,（79.5±8.0）points,the difference was statistically significant（t=15.084 0, 16.694 2, 13.641 4, 9.944 4, P=0.000 0, 0.000 0, 0.000 0, 0.000 0〈0.05）. Conclusion Continuing nursing care for patients with cirrhosis can improve their self-care ability and improve their quality of life.