个性化健康宣教对慢加亚急性肝功能衰竭患者的预后影响

Prognostic Effect of Individualized Health Education on Patients with Chronic and Subacute Liver Failure

目的:探讨个性化健康宣教在慢加亚急性肝功能衰竭临床治疗和护理中的应用效果,根据患者的预后情况做出评价。方法:选取笔者所在科2017年1月-2018年12月收治的74例慢加亚急性肝功能衰竭患者作为研究对象,采用随机分组方法,分为观察组(个性化健康教育)和对照组(常规护理),各37例,观察两组患者的治疗和护理效果。结果:观察组患者的病情控制有效率89.19%,疾病认知优良率91.89%,健康调查量表(SF-36)评分(75.44±3.71)分,高于对照组的75.68%、72.97%、(62.62±3.97)分,差异均有统计学意义(P<0.05),而自评焦虑量表(SAS)评分(39.82±4.06)分,自评抑郁量表(SDS)评分(38.76±4.15)分,低于对照组的(52.64±5.33)、(51.93±5.02)分,差异均有统计学意义(P<0.05)。结论:个性化健康宣教的开展,能够有效提升慢加亚急性肝功能衰竭患者对于自身疾病的认知程度,使其认真依从和配合治疗和护理工作,保持良好的身心状态,进而改善其预后。

Objective:To explore the effect of individualized health education in the clinical treatment and nursing of chronic and subacute liver failure,and to evaluate the prognosis of patients.Method:From January 2017 to December 2018,74 patients with chronic and subacute liver failure were randomly divided into the observation group(individualized health education)and the control group(routine nursing).The treatment and nursing effects of the two groups were observed.Result:Compared with the control group,the effective rate of disease control(89.19%vs 75.68%),the excellent rate of disease cognition(91.89%vs 72.97%)and the score of health survey scale(SF-36)[(75.44%±3.71)vs(62.62%±3.97)]in the observation group were relatively higher(P<0.05),while the score of self-rating anxiety scale(SAS)score[(39.82±4.06)vs(52.64±5.33)]was lower(P<0.05),and self-rating depression scale(SDS)score[(38.76±4.15)vs(51.93±5.02)]was relatively lower(P<0.05).Conclusion:The development of individualized health education can effectively improve the cognitive level of patients with chronic and subacute liver failure,make them conscientiously comply with and cooperate with the treatment and nursing work,maintain good physical and mental state,and improve their prognosis.