摘要
目的:探讨延续性护理和随访管理(4CR)对胆源性急性胰腺炎病人遵医行为和复发率的影响。方法:选取2022年1月—2023年11月南方医科大学珠江医院消化内科收治的急性胰腺炎病人168例,随机分为对照组和4CR模式组各84例。对照组采用延续护理进行干预,4CR模式组采用4CR模式干预。分别在干预前和干预6个月后采用遵医行为量表、健康行为能力自评量表(SRAHP)、中文版健康促进生活方式量表(HPLP-ⅡC)和成人生活质量综合评定问卷-74(GQOLI-74)评估两组病人遵医行为、健康行为能力、健康促进生活方式水平和生活质量,并于出院后1、3、6个月比较两组病人急性胰腺炎复发率。结果:随访观察过程中,2例病人脱落,最终对照组82例、4CR模式组84例完成研究。干预6个月后,4CR模式组遵医行为各项评分、SRAHP评分、HPLP-ⅡC评分以及GQOL-74各项评分均高于对照组(P<0.05)。出院后3、6个月,4CR模式组急性胰腺炎复发率低于对照组(P<0.05)。结论:延续护理和随访管理有助于提高胆源性急性胰腺炎病人遵医行为和健康促进生活方式,降低急性胰腺炎复发率。
Objective:To explore the influence of the nursing mode of continuous nursing and follow-up management(4CR)on the compliance behavior and recurrence rate of patients with acute biliary pancreatitis.Methods:A total of 168 patients with acute biliary pancreatitis admitting to the department of gastroenterology of Zhujiang Hospital,Southern Medical University from January 2022 to November 2023 were selected and randomly divided into the control group and the 4CR mode group,with 84 patients in each group.The control group was intervened with continuous nursing,while the 4CR mode group was intervened with the 4CR mode.Before the intervention and 6 months after the intervention,the compliance behavior scale,Self-Rating Ability of Health-Promoting Practice Scale(SRAHP),Chinese version of Health Promoting Lifestyle Profile⁃Ⅱ(HPLP⁃IIC),and Generic Quality of Life Inventory⁃74(GQOL⁃74)were used to evaluate the compliance behaviors,health behaviors ability,level of health promoting lifestyle,and quality of life of the patients in the two groups respectively.And the recurrence rate of acute pancreatitis in the two groups was compared at 1,3,and 6 months after discharge.Results:During the follow⁃up observation process,2 patients dropped out.Eventually,there were 82 patients in the control group and 84 patients in the 4CR mode group.Six months after the intervention,the scores of various items of compliance behavior,SRAHP scores,HPLP⁃IIC scores,and the scores of various items of the GQOL⁃74 scale in the 4CR mode group were all higher than those in the control group(P<0.05).At 3 and 6 months after discharge,the recurrence rate of acute pancreatitis in the 4CR mode group was lower than that in the control group(P<0.05).Conclusions:The intervention of continuous nursing and follow⁃up management could help to improve the compliance behaviors and health promoting lifestyle of patients with acute biliary pancreatitis,and reduce the recurrence rate of acute pancreatitis.
作者
毛金
潘婉媚
李洋
邹丹丹
沈琼
MAO Jin;PAN Wanmei;LI Yang;ZOU Dandan;SHEN Qiong(Zhujiang Hospital,Southern Medical University,Guangdong 510282 China)
出处
《护理研究》
北大核心
2025年第13期2264-2269,共6页
Chinese Nursing Research
基金
国家自然科学基金青年项目,编号:82100660。
关键词
胆源性急性胰腺炎
延续性护理
随访管理
遵医行为
复发
acute biliary pancreatitis
continuous nursing
follow⁃up management
compliance behavior
recurrence
