Cox健康行为互动模式护理干预对乙型肝炎肝硬化患者情绪生活方式及生活质量的影响

Effects of Cox's interaction model of client health behavior nursing intervention on mood,lifestyle and quality of life in patients with hepatitis B cirrhosis

目的探讨Cox健康行为互动模式护理干预对乙型肝炎肝硬化患者情绪、生活方式及生活质量的影响。方法将104例乙型肝炎肝硬化患者按入院单双号分为两组,每组52例。对照组接受常规护理干预,研究组在此基础上给予Cox健康行为互动模式护理干预,观察3个月。干预前后采用焦虑自评量表、抑郁自评量表、生存质量测定简表评定焦虑抑郁情绪、生活质量,统计干预前后两组患者的生活方式及干预后患者满意度。结果干预后两组焦虑自评量表、抑郁自评量表评分均较干预前显著降低(P<0.01),研究组显著低于对照组(P<0.05或0.01)。干预后两组饮酒、吸烟占比较干预前显著降低(P<0.05或0.01),合理膳食、运动锻炼及按时服药占比较干预前显著升高(P<0.05或0.01),且研究组饮酒、吸烟占比显著低于对照组(P<0.05),合理膳食、运动锻炼及按时用药占比显著高于对照组(P<0.05或0.01)。干预后两组生存质量测定简表的生理领域、心理领域、社会关系领域及环境领域评分较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.05或0.01)。研究组住院患者满意度调查表总分及服务态度、护理及时性、健康教育、舒适度维度评分均显著高于对照组(P<0.05或0.01)。结论Cox健康行为互动模式护理干预能有效缓解乙型肝炎肝硬化患者的焦虑抑郁情绪,使其形成健康的生活方式,提高患者生活质量及满意度。

Objective To investigate the effect of Cox's interaction model of client health behavior(Cox-IMCHB)nursing intervention on mood,lifestyle and quality of life in patients with hepatitis B cirrhosis.Methods A total of 104 patients with hepatitis B cirrhosis were divided into two groups according to the admission odd and even numbers,with 52 cases in each group.The control group received routine nursing intervention,while on this basis,the study group received Cox-IMCHB nursing intervention for 3 months.Before and after the intervention,the self-rating anxiety scale(SAS),self-rating depression scale(SDS)and world health organization quality of life scale(WHOQOL-BREF)were used to assess anxiety,depression,and quality of life.Results After the intervention,the SAS and SDS scores of the two groups were significantly lower than those before the intervention(P<0.01),and the study group was significantly lower than the control group(P<0.05 or 0.01).After the intervention,the proportions of drinking and smoking in the two groups were significantly lower than those before the intervention(P<0.05 or 0.01),and the proportions of reasonable diet,exercise and taking medicine on time were significantly higher than those before the intervention(P<0.05 or 0.01).The proportions of drinking and smoking in the study group were significantly lower than those in the control group(P<0.05),and the proportions of reasonable diet,exercise and taking medicine on time were significantly higher than those in the control group(P<0.05 or 0.01).After the intervention,the scores of physiological domain,psychological domain,social relationship domain and environmental domain of WHOQOL-BREF in the two groups were significantly higher than those before the intervention(P<0.01),and the study group was significantly higher than the control group(P<0.05 or 0.01).The total score of the inpatient satisfaction questionnaire and the dimension scores of service attitude,nursing timeliness,health education,and comfort in the study group were significantly higher than those in the control group(P<0.05 or 0.01).Conclusions Cox-IMCHB nursing intervention can effectively relieve the anxiety and depression of patients with hepatitis B cirrhosis,promote them to adopt a good lifestyle,and improve the quality of life and satisfaction of patients.