肝病专科随访护士主导的医院-社区-家庭延续护理在肝硬化患者中的应用

Application of hospital-community-family continued nursing in patients with liver cirrhosis led by follow-up nurses of liver disease

目的探讨肝病专科随访护士主导的医院-社区-家庭延续护理在肝硬化患者中的应用效果。方法采用便利抽样法,选择2019年6月—2020年12月在新乡市中心医院肝病专科住院的代偿期肝硬化患者156例,根据随机数表法分为观察组和对照组,每组78例。对照组采用常规延续护理,观察组实施肝病专科随访护士主导的医院-社区-家庭延续护理,为期3个月。比较两组患者的自我管理行为水平和再次入院率的差异。结果干预后观察组自我管理行为量表各维度得分及总分均高于对照组,差异有统计学意义(P<0.05)。观察组干预后自我管理行为量表各维度得分及总分较干预前升高,差异有统计学意义(P<0.05)。观察组再次入院率低于对照组,差异有统计学意义(χ^(2)=5.125,P<0.05)。结论肝病专科随访护士主导的医院-社区-家庭延续护理可以提高肝硬化患者自我管理行为能力,降低再次入院率。

Objective To explore the effects of hospital-community-family continued nursing led by follow-up nurses of liver disease in patients with liver cirrhosis.Methods Totally 156 patients with compensated cirrhosis hospitalized in the Department of Hepatology at Xinxiang Central Hospital between June 2019 and December 2020 were selected by convenient sampling and randomized into an observation group and a control group according to the random number table,with 78 patients in each group.Patients in the control group received routine continued care,while patients in the observation group underwent hospital-community-family continued nursing led by follow-up nurses of liver disease for 3 months.The differences in self-management behavior and readmission rate were compared between the two groups of patients.Results After the intervention,the scores of each dimension and the total score of the self-management behavior scale were higher in the observation group than in the control group,with statistically significant difference(P<0.05).The scores of each dimension and the total score of the self-management behavior scale were higher after the intervention than before the intervention in the observation group,with statistically significant difference(P<0.05).The readmission rate was lower in the observation group than in the control group,and the difference was statistically significant(χ^(2)=5.125,P<0.05).Conclusions Hospital-community-family continued nursing led by follow-up nurses of liver disease can improve the self-management ability and reduce the readmission rate in patients with liver cirrhosis.