阶梯式护理目标设定干预对肝硬化失代偿期患者疾病管理及转归的影响

The effect of stepped nursing goal setting intervention on disease management and outcome of patients with decompensated liver cirrhosis

目的:探讨阶梯式护理目标设定干预对肝硬化失代偿期患者疾病管理及转归的影响。方法:选取本院肝科2016年10月至2019年10月所收治的肝硬化失代偿期患者52例,随机分为对照组和观察组各26例。对照组接受肝病科常规护理,观察组实施阶梯式护理目标设定干预模式。干预周期6个月,对比两组干预前后焦虑(SAS)/抑郁(SDS)情绪、自护能力(ESCA)、生活质量(SF-36)等疾病管理指标及并发症发生情况。结果:干预前,两组SAS/SDS、ESCA、SF-36评分比较无明显差异(P>0.05)。干预后,观察组SAS/SDS评分及并发症发生率明显低于对照组,ESCA及SF-36各项目评分均明显高于对照组(P<0.05)。结论:对肝硬化失代偿期患者实施阶梯式护理目标设定干预模式,患者负性情绪状态明显缓解,自我护理能力和生活质量明显提高,并发症发生率明显降低,疾病进展得到有效延缓和控制。

Objective:To explore the effect of stepped nursing goal setting intervention on disease management and outcome of patients with decompensated liver cirrhosis.Methods:A total of 52 patients with decompensated liver cirrhosis who were admitted to our department of hepatology from October 2016 to October 2019 were selected and randomly divided into a control group and an observation group of 26 cases each.The control group received routine care in the liver department,and the observation group implemented a stepped nursing goal setting intervention mode.The intervention period was 6 months,comparing the anxiety(SAS)/depression(SDS)mood,self-care ability(ESCA),quality of life(SF-36)and other disease management indicators and complications before and after intervention between the two groups.Results:Before the intervention,there was no significant difference in the scores of SAS/SDS,ESCA and SF-36 between the two groups(P>0.05).After the intervention,the SAS/SDS score and the incidence of complications in the observation group were significantly lower than those in the control group,and the scores of ESCA and SF-36 items were significantly higher than those in the control group(P<0.05).Conclusion:Implementing a stepped care goal setting intervention model for patients with decompensated liver cirrhosis,patients'negative emotional states are significantly relieved,self-care ability and quality of life are significantly improved,the incidence of complications is significantly reduced,and disease progression is effectively delayed and controlled.