出院准备服务策略在肝硬化患者医院-社区慢性疾病管理中的效果评价

Effect of discharge preparation service strategy in hospital-community chronic disease management of patients with liver cirrhosis

目的探讨出院准备服务策略在肝硬化患者医院—社区慢性疾病管理中的应用效果。方法采用便利抽样法,选择2018年1月—2019年5月在河南省濮阳市人民医院感染性疾病科住院的代偿期肝硬化患者162例,随机分为观察组和对照组,每组各81例。对照组采用常规管理,观察组应用出院准备服务策略。比较两组出院后再次入院率及实验室指标的差异。结果出院后6个月内,观察组和对照组患者再次入院率分别为4.94%(4/81)、20.99%(17/81),差异有统计学意义(χ^(2)=9.246,P<0.05)。出院后6个月,观察组患者前白蛋白(226.48±27.52)mg/L,高于对照组,谷丙转氨酶(90.26±6.72)U/L,低于对照组,差异均有统计学意义(t值分别为5.482、-6.834;P<0.05)。结论出院准备服务策略可以降低肝硬化患者再次入院率,延缓病程进展,值得临床推广应用。

Objective To explore the effect of discharge preparation service strategy in hospitalcommunity chronic disease management of patients with liver cirrhosis.Methods From January 2018 to May 2019,the convenience sampling was used to select 162 patients with compensatory cirrhosis hospitalized in the Department of Infectious Diseases,Puyang People's Hospital of Henan Province.Patients were randomly divided into observation group and control group,with 81 cases in each group.Control group used routine management,and observation group carried out the discharge preparation service strategy.We compared the differences in readmission rate and laboratory indicators between two groups after discharge.Results Within 6 months after discharge,the re-admission rates of patients in observation group and control group were 4.94%(4/81)and 20.99%(17/81)respectively,and the difference was statistically significant(χ^(2)=9.246,P<0.05).Six months after discharge,prealbumin of observation group was(226.48±27.52)mg/L higher than that of control group,and alanine aminotransferase of observation group was(90.26±6.72)U/L lower than that of control group,and differences were statistically significant(t=5.482,-6.834;P<0.05).Conclusions Discharge preparation service strategy can reduce the re-admission rate of patients with liver cirrhosis and delay the progression of the disease,which is worthy of clinical application.