家庭护理干预在肝硬化腹水患者中的应用-论文.pdf

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1、中华现代护理杂志2013年l2月26日第19卷第36期ChinJModNurs，December26，2013，Vo1．19，No．36．研究荟萃．家庭护理干预在肝硬化腹水患者中的应用田瑞英李燕【摘要】目的探讨肝硬化腹水患者家庭护理干预策略及应用效果。方法将100例患者及配对家属随机分为干预组和对照组各5O例。对照组患者及家属进行常规出院指导，干预组患者及家属在对照组的基础上出院后通过定期电话随访及家访进行系统的家庭护理干预，6个月后通过电话随访、家访及门诊复诊的方式比较两组干预效果。结果干预组患者

2、的正确用药率为92．0％，对肝硬化腹水疾病知识完全知晓率为96．0％，均高于对照组(62．O％，64．0％)；干预组患者消化道出血、肝性脑病并发症的发生率分别为10．0％，12．0％，均低于对照组(28．0％，30．O％)；两组比较差异有统计学意义(X值分别为12．705，16．000，5．263，4．883；P<0．05)。两组患者预后情况及再入院率、再入院次数比较差异均有统计学意义(P<0．05)。结论适当的家庭护理干预，可提高患者及家属对疾病知识知晓率，发挥家属作用，提高社会支持力度，进而提高

3、患者的遵医行为，减少并发症的发生。【关键词】肝硬化腹水；健康教育；遵医行为；家庭护理干预ApplicationoffamilynursinginterventionstrategyamongpatientswithhepatocirrhosisascitesTIANRui—zing，LIYah．DepartmentofInfectiousDisease，XuzhouInfectiousDiseaseHospital，Xuzhou221004，ChinaCorrespondingauthor：TIAN

4、Rui—zing，Email：try83468759@163。corn【Abstract】ObjectiveTostudytheimplementationefectsoffamilynursinginterventionstrategiesamongpatientswithhepatocirrhosisascites．MethodsAtotalof100casesofpatientsandpairingfamilies，accordingtothedischargeorder，wererandom

5、lydividedintointerventiongroupandcontrolgroupwith50casesineachgroup．Thepatientsincontrolgroupandtheirfamilymembel'swerefollowedtheroutinedischargeguidance，whilethepatientsininterventiongroupandtheirfamilymemberswerebasedonthefamilynursinginterventionst

6、rategy，whichweredischargedthroughtheprocessofregulartelephonefollow—upandhomevisits．Aftersixmonths，themedicalcompliancebehaviors，theawarenessrateofknowledgeafterhealingandcomplicationsbetweenthecontrolgroupandtheinterventiongroupwerecomparedbytelephone

7、follow·up，homevisitsandoutpatientreviews．ResultsTotalsof92％interventiongrouppatientsfollowedthecorrectmedicationandtherateofdiseaseknowledgeabouthepatocirrhosisasciteswas96％amonginterventiongroupofpatientsandtheirfamilymembers，whichweresignificantlyhig

8、herthanthecontrolgroup．Theincidenceofgastrointestinalhemorrhageandhepaticencephalopathyamonginterventiongroupwere10％and12％，respectively，whichweresignificantlylowerthanthecontrolgroup．Thereweresignificantdifferencesbetweentwogroups(x=12．