摘要
目的探讨微信平台延续护理干预对桂西地区肝硬化患者生存质量的影响,为肝硬化患者延续性护理的发展提供循证理论依据。方法选取2018年9月至12月出院的80例肝硬化患者为研究对象,按照随机数字表将其分为观察组与对照组各40例。对照组予以常规电话随访护理,观察组在对照组的基础上应用微信平台延续护理干预。采用生活质量综合评定问卷-74(GQOL-74)对患者护理干预前及干预后6个月、12个月生存质量进行评定。结果干预前,两组患者生存质量各维度评分差异无统计学意义(P>0.05);干预后,两组患者各维度评分较干预前均有所上升(P<0.05或0.01),且观察组患者上升程度大于对照组(P<0.01)。观察组肝功能控制良好率高于对照组,并发症发生率、再住院率均低于对照组(P<0.05)。结论基于微信平台延续护理干预模式有助于提高肝硬化患者的生存质量,且具有简便、安全可靠的特点,值得推广应用。
Objective To explore the effect of continuous nursing intervention based on Wechat platform on the quality of life of liver cirrhosis patients in western Guangxi,and to provide evidence-based theoretical basis for the development of continuous nursing of patients with liver cirrhosis.Methods 80 patients with cirrhosis discharged from September 2018 to December 2018 were selected as study objects,and they were divided into observation group and control group with 40 cases in each group according to random number table.The control group were given routine follow-up by telephone,and the observation group were given continuous nursing intervention based on Wechat platform on the basis of the control group.The quality of life of the patients before intervention,6 months and 12 months after intervention was assessed by Generic Quality of Life Inventory-74(GQOL-74).Results Before intervention,there was no statistically significant difference between the two groups in the quality of life(P>0.05).After intervention,the scores of each dimension of the two groups were higher than those before intervention(P<0.05 or 0.01),and the rising degree of the observation group was higher than that of the control group(P<0.01).The good rate of liver function control in the observation group was higher than that in the control group,and the incidence of complications and rehospitalization was lower than that in the control group(P<0.05).Conclusion The continuous nursing intervention model based on Wechat platform is helpful to improve the quality of life of patients with liver cirrhosis.It is simple,safe and reliable,which is worthy of popularization and application.
作者
李爽旗
蒙连新
陆柳雪
韦素雨
韦惠云
黄彩妹
黄莉
LI Shuangqi;MENG Lianxin;LU Liuxue;WEI Suyu;WEI Huiyun;HUANG Caimei;HUANG Li(Nursing Department of Affiliated Hospital,Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China;Graduate School,Youjiang Medical University for Nationalities,Baise 533000,Guangxi,China)
出处
《右江医学》
2020年第5期345-348,共4页
Chinese Youjiang Medical Journal
基金
广西肝胆疾病临床医学研究中心课题(桂AD17129025)
广西医疗卫生适宜技术开发与推广应用项目(S2019016)
百色市科学研究与技术开发计划课题(百科20193216)。
关键词
微信平台
延续护理
肝硬化
生存质量
Wechat platform
continuous nursing
liver cirrhosis
quality of life
