APN延续性护理模式下再生性社区在肝硬化患者中的应用

Application of Regenerative Community in Patients with Liver Cirrhosis Under the APN Continuation Care Model

目的:探讨国外高级实践护士(APN)延续性护理(TOC)模式下再生性社区在肝硬化患者中的应用效果。方法:以2019年1月1日~2022年1月31日收治的90例患者为研究对象,采用随机数字表法分为观察组和对照组各45例,对照组给予常规TOC模式,观察组给予APN TOC模式下再生性社区;比较两组出院前一天、出院后6个月、出院后12个月自我护理能力[采用修正版自我护理能力评估量表(ASAS-R)]、生活质量[采用健康调查简表(SF-36)]、心理状态[采用焦虑自评量表(SAS)、抑郁自评量表(SDS)]。结果:出院后6、12个月,观察组ASAS-R与SF-36评分均高于对照组(P<0.05),观察组SAS、SDS评分低于对照组(P<0.05)。结论:肝硬化患者采取APN TOC模式下再生性社区,改善患者自我护理能力、生活质量与心理状态。

Objective:To explore the application effect of regenerative community in patients with liver cirrhosis under the APN continuation care model.Methods:A total of 90 patients admitted during January 1,2019 to January 31,2022 were selected as the study objects,and were divided by the random table method into the observation group and the control group,each with 45 cases,the control group was given routine continuity care mode,and the observation group was given APN continuation care mode of regenerative community.Comparison was made between the two groups 1d before discharge,6 months and 12 months after discharge on self-care ability by the modified version of self-care ability assessment scale(ASAS-R),the quality of life by the 36-item short form health survey profile(SF-36),and mental state by the self-rating anxiety scale(SAS),and the self-rating depression scale(SDS).Results:The ASAS-R and SF-36 scores in the observation group 6 months and 12 months after discharge were higher than those in the control group(P<0.05),and the SAS and SDS scores were lower in the observation group than those in the control group(P<0.05).Conclusion:The regenerative community under the APN continuation care model in patients with liver cirrhosis can improve their self-efficacy,their quality of life and psychological state.