肝硬化腹水患者自我管理健康教育效果评价分析

Effectiveness evaluation on health education of self-management among cirrhotic ascites patients

目的:探讨肝硬化腹水患者实施自我管理健康教育的效果。方法:将120例确诊的肝硬化腹水患者随机分为对照组和观察组,每组60例;对照组给予常规护理和健康教育,而观察组在此基础上给予自我管理健康教育措施;比较两组患者干预前后的疾病知识、自我管理能力及生存质量得分。结果:干预后,观察组的饮食、运动、药物及并发症得分均明显高于对照组(t=4.209、4.412、5.610、8.344,P<0.01);观察组的日常生活管理、饮食管理、用药管理及疾病监测管理得分均明显高于对照组(t=7.101、5.994、6.034、7.840,P<0.01);观察组的抑郁症状、焦虑症状、日常生活能力及社会生活状况得分均明显低于对照组(t=10.767、8.536、11.826、7.676,P<0.01)。结论:肝硬化腹水患者通过自我管理健康教育干预后,可提高患者对疾病知识的掌握程度,提高对疾病的自我管理能力,改善预后生存质量。

Objective To explore the effect of health education of self--management among cirrhotic ascites patients. Methods A total of 120 cases of cirrhotic ascites were randomly assigned into control group and observation group, 60 cases each group. The control group was given conventional nursing and health education, and the observation group was added with health education of self--management. The scores of disease knowledge, self--management ability and life quality were compared between the two groups before and after intervention. Results After intervention, the scores of diet,motion,medication and complications in the observation group were higher than the control group （t = 4. 209, 4.412,5.610,8. 344, P〈0.01）. The scores of daily life management, dietary management, administration of drugs and disease monitoring and management in the observation group were obviously higher than the control group（t= 7. 101, 5. 994,6. 034,7. 840 ,P〈0.01）. And the scores of depression, anxiety, activities of daily living and social life status in the observation group were significantly lower than the control group（t = 10. 767,8. 536,11. 826,7. 676, P〈0.01 ）. Conclusions Health education intervention of self--management could raise mastery degree of disease knowledge, enhance the ability of self--management, and improve prognostic quality of life among patients of cirrhotic ascites.