基于Snyder希望理论的协同护理在乙型肝炎肝硬化失代偿期患者中的应用

Effects of collaborative nursing based on Snyder's hope theory in patients with decompensated hepatitis B cirrhosis

目的分析基于Snyder希望理论的协同护理在乙型肝炎肝硬化失代偿期患者中的应用效果。方法选取2019年1月—2021年12月绍兴文理学院附属医院(绍兴市立医院)收治的乙型肝炎肝硬化失代偿期患者100例作为研究对象,按照区组随机法将其分为对照组和观察组,各50例。对照组患者应用常规护理,观察组患者在对照组的基础上应用基于Snyder希望理论的协同护理。干预前后采用慢性肝病问卷(CLDQ)、Herth希望量表(HHI)及家庭亲密度与适应性量表中文版(FACESⅡ-CV)对两组患者生活质量、希望水平及家庭功能情况进行评价。结果护理前,两组患者CLDQ、HHI及FACESⅡ-CV评分比较差异均无统计学意义(P>0.05);护理后,观察组患者CLDQ、HHI、FACESⅡ-CV评分均高于对照组,差异均有统计学意义(P<0.05)。结论采用基于Snyder希望理论的协同护理能提高乙型肝炎肝硬化失代偿期患者的生活质量、希望水平及家庭功能,值得临床推广应用。

Objective To explore the effect of collaborative nursing based on Snyder's hope theory in patients with decompensated hepatitis B cirrhosis.Methods From January 2019 to December 2021,100 patients with decompensated hepatitis B cirrhosis who were admitted to the Affiliated Hospital of Shaoxing University(Shaoxing Municipal Hospital)were selected as the research object.According to the block randomization,the patients were divided into the control group and the observation group,50 cases in each group.The patients in the control group were given routine nursing.On the basis of the control group,the patients in the observation group were given collaborative nursing based on Snyder's hope theory.Before and after the intervention,the Chronic Liver Disease Questionnaire(CLDQ),the Herth Hope Index(HHI)and the Chinese version of the Family Adaptability and Cohesion Evaluation Scale(FACESⅡ-CV)were used to evaluate the quality of life,hope and family function of the two groups of patients.Results Before nursing,there were no statistical differences in CLDQ,HHI and FACESⅡ-CV scores between the two groups(P>0.05).After nursing,the CLDQ,HHI,and FACESⅡ-CV scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusions Collaborative nursing based on Snyder's hope theory can improve the quality of life,hope and family function of patients with decompensated hepatitis B cirrhosis,which is worthy of clinical application.