三主体双轨道互动护理干预应用于肝硬化患者的效果评价-现代医学

三主体双轨道互动护理干预应用于肝硬化患者的效果评价

单位：无锡市第五人民医院护理部, 江苏无锡 214000

分类号：R575.2;R473.57

出版年·卷·期（页码）：2019·47·第四期（461-464）

摘要：

目的：探讨三主体双轨道互动护理干预应用于肝硬化患者对其肝功能、治疗依从性和自我管理能力的影响。方法：选取2015年3月至2017年4月我院收治的118例肝硬化患者，采取双盲随机抽样方法分为两组各59例，常规组实施常规护理干预，试验组实施三主体双轨道互动护理干预。比较两组患者护理前后肝功能指标、治疗依从性和自我管理能力变化情况。结果：试验组出院4个月总胆红素（TBIL）、丙氨酸转氨酶（ALT）水平低于常规组，白蛋白（ALB）和白蛋白/球蛋白（A/G）指标高于常规组（P<0.05）；试验组出院4个月治疗依从性优于常规组（P<0.05），日常生活管理、病情监测管理、饮食管理和用药管理评分均高于常规组（P<0.05）。结论：三主体双轨道互动护理干预应用于肝硬化患者可有效改善患者肝功能水平，提高其治疗依从性和自我管理能力，值得临床推广。

Objective:To investigate the effect of three-subject dual-orbital interactive nursing intervention on liver function, treatment compliance and self-management ability in patients with liver cirrhosis. Methods:A total of 118 patients with cirrhosis admitted to our hospital from March 2015 to April 2017 were enrolled in this study. They were randomly divided into conventional group and experimental group by double-blind method, 59 cases in each group. The conventional group received routine nursing intervention, while the experimental group was nursed with three-subject dual-orbital and two-track interactive nursing intervention. The changes of liver function index, treatment compliance and self-management ability before and after intervention between the two groups were compared. Results:The levels of total bilirubin(TBIL) and alanine aminotransferase(ALT) were lower in experimental group than those in conventional group, and the albumin(ALB) and albumin/globulin(A/G) in experimental group were higher than those in conventional group(P<0.05).The treatment compliance of the patients in experimental group were better than that in conventional group in 4 months after being discharged from the hospital. The difference was statistically significant(P<0.05).The scores of daily life management, disease monitoring and management, diet and medication management were significantly higher in experimental group than those in conventional group(P<0.05).Conclusion:Three-subject dual-track interactive nursing intervention can effectively improve the liver function, treatment compliance and self-management ability in patients with cirrhosis, which is worthy of clinical promotion.

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