联合赋能式护理模式在病毒性肝炎患者中的应用效果

Application effect of combined enabling nursing model in patients with viral hepatitis

目的 探究联合赋能式护理模式在病毒性肝炎患者中的应用效果。方法 选取江苏省淮安市第四人民医院2019年1月至2021年12月江苏省淮安市第四人民医院肝病科接收的100例病毒性肝炎患者作为研究对象,根据依据单、双数的分组方式将其分为参照组和干预组,各50例。参照组实施常规康复护理模式,干预组在常规康复护理措施基础上实施联合赋能式康复护理模式。于入院1 d,干预3个月后,对两组自我管理能力、不良反应、生活质量等进行比较。结果 干预3个月后,两组躯体活动、临床治疗、心理、饮食评分均高于入院1 d,且干预组高于参照组(P<0.05);干预组营养不良、肝功能异常加重、高胆红素血症、肝区疼痛等不良反应发生率低于参照组(P<0.05);干预3个月后,两组生活质量评分均高于入院1 d,且干预组高于参照组(P<0.05)。结论 对病毒性肝炎患者实施联合赋能式护理模式,有利于提升患者自我管理能力,降低不良反应发生率,提高其日常生活质量。

Objective To explore the application effect of combined enabling nursing model in patients with viral hepatitis.Methods A total of 100 patients with viral hepatitis admitted to the Department of Hepatology of the Fourth People’s Hospital of Huaian,Jiangsu Province from January 2019 to December 2021 were selected as the study objects.According to the grouping mode based on single and even numbers,the patients were divided into reference group and intervention group,with 50 cases in each group.The reference group implemented the routine rehabilitation nursing mode,and the intervention group implemented combined enabling rehabilitation nursing mode based on the routine rehabilitation nursing measures,one day after admission and three months after intervention,the self-management ability,adverse reaction and quality of life of the two groups were compared.Results After three months of intervention,the scores of physical activity,clinical treatment,psychology,and diet in two groups were higher than those in one day after admission,and the intervention group was higher than the reference group(P<0.05).The incidence of adverse reaction such as malnutrition,abnormal liver function,hyper-bilirubinemia and hepatic pain in the intervention group was lower than that in the reference group(P<0.05).After three months of intervention,the quality of life scores in both groups were higher than those in one day after admission,and the intervention group was higher than the reference group(P<0.05).Conclusion The implementation of the combined enabling nursing model for patients with viral hepatitis is conducive to improving patients’self-management ability,reducing the incidence of adverse reaction,and improving their daily life quality.