摘要
目的:探究“多因素-护理干预模式”在肝硬化难治性腹水患者中的临床应用价值。方法:选取2019年3月-2020年2月郑州大学第一附属医院收治的130例肝硬化难治性腹水患者作为研究对象,根据患者意愿分为常规组患者68例,改良组患者62例。常规组患者给予常规护理;改良组患者在常规护理基础上给予“多因素-护理干预模式”。比较常规组患者和改良组患者所纳入研究者的焦虑状况、抑郁状态以及生活质量情况,并调查其满意度。结果:改良组患者护理后抑郁及焦虑评分均低于常规组患者,差异有统计学意义(t=7.326、8.642,P<0.05);改良组患者生活质量各项评分(生活舒适度、健康评价、社会评分和情感指数)均高于常规组患者,差异有统计学意义(t=6.367、7.436、9.748、8.362,P<0.05);改良组患者护理满意度比常规组高,差异有统计学意义(χ^(2)=4.076,P<0.05)。结论:“多因素—护理干预模式”在肝硬化难治性腹水患者中的临床护理应用价值较理想,可减轻患者的不良负面情绪,改善患者生活质量,提高满意度。
Objective:To investigate the clinical application value of the “multifactor-nursing intervention model” in patients with cirrhosis-refractory ascites.Methods:130 patients with cirrhosis-refractory ascites admitted to the hospital from March2019 to February 2020 were selected as the study subjects and were divided into 68 patients in the conventional group and 62 patients in the modified group according to the patients’ wishes. The conventional group was given conventional care, and the modified group was given “multi-factor-nursing intervention model”on the basis of conventional care. The anxiety status, depression status, and quality of life of the study participants included in the conventional and modified groups of patients were compared, and their satisfaction was investigated.Results:The post-care depression and anxiety scores of patients in the modified group were lower than those of patients in the conventional group, and the differences were statistically significant(t=7.326, 8.642, P<0.05). All quality of life scores(comfort of life, health assessment, social score and emotional index) were higher in the modified group than in the conventional group, with statistically significant differences(t=6.367, 7.436, 9.748, 8.362, P<0.05). Satisfaction with care was higher in the modified group than in the conventional group, and the difference was statistically significant(χ^(2)=4.076, P<0.05).Conclusion:The value of“multifactor-nursing intervention model”in the clinical care of patients with cirrhosis-refractory ascites is ideal, which can reduce patients’ negative emotions, improve their quality of life and increase their satisfaction.
作者
尹金能
白黎
方佳
YIN Jin-neng;BAI Li;FANG Jia(The First Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan,450000,China)
出处
《黑龙江医学》
2023年第4期476-478,共3页
Heilongjiang Medical Journal
基金
河南省医学科技攻关计划联合共建项(LHGJ20200032)。
关键词
肝硬化
难治性腹水
“多因素-护理干预模式”
生活质量
护理满意度
Cirrhosis
Refractory ascites
“Multifactorial-nursing intervention model”
Quality of life
Nursing satisfaction
