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聚焦护理模式在三级综合医院乙型肝炎患者管理中的应用及对患者生活质量的影响。

The Application of Focused Care Model in the Management of Hepatitis B Patients in a Tertiary Care Hospital and the Impact on Patients' Quality of Life.

机构信息

Department of Infection, Shanxi Norman Bethune Hospital, Taiyuan, Shanxi Province 030000, China.

Preventive and Health Care Department, Shanxi Norman Bethune Hospital, Taiyuan, Shanxi Province 030000, China.

出版信息

Comput Math Methods Med. 2022 Sep 12;2022:7770955. doi: 10.1155/2022/7770955. eCollection 2022.

Abstract

Chronic hepatitis B is one of the common infectious diseases in the world, with a wide epidemic range and strong contagiousness, which is difficult to completely eradicate. From July 2020 to April 2022, 142 patients with hepatitis B who were admitted to tertiary hospitals were selected and randomly divided into 2 cases, with 71 cases per case. The control group adopts a conventional model, and the observation group implements a nursing model based on the control group. The management capacity and quality of life before and after the two groups of care were compared. 94 patients with chronic hepatitis B who were admitted to the hospital from July 2020 to April 2022 were selected, and 47 cases were divided into the control group and observation group according to the admission time. The control group is given a conventional model, and the observation group is given a nursing model on the basis of the control group. Both groups of patients observed anxiety self-assessment scale (SAS), depression self-assessment scale (SDS), short life span scale (SF-36) scores, and treatment conditions before and after the intervention, to explore the application of nursing model in the management of hepatitis B patients in tertiary hospitals and its impact on patient quality of life. Based on study's precare outcomes, there was no statistically significant difference between the self-administered scale (PIH) score and the quality of life measurement summary scale (QOL-BREF) score ( > 0.05) between the two groups. After one month of care, both groups had lower PIH scores than before care, and QOL-BREF scores were higher than before care ( < 0.05). After one month of treatment, the PIH score of the observation group was significantly reduced, and the QOL-BREF score after one month of treatment was significantly higher than that of the control group ( < 0.05). The SAS and SDS scores in the observation group were lower than those in the control group, and the quality of life scores and treatment compliance were higher than those in the control group, and the difference was statistically significant ( < 0.05). . The nursing model can effectively improve the management and quality of life of hepatitis B patients. It also had a significant positive effect on the therapeutic capacity and quality of life of patients with hepatitis B and improved patient compliance behavior and quality of life.

摘要

慢性乙型肝炎是世界范围内常见的传染病之一,具有广泛的流行范围和较强的传染性,难以彻底根除。选取 2020 年 7 月至 2022 年 4 月期间在三甲医院收治的 142 例乙型肝炎患者为研究对象,随机分为两组,每组 71 例。对照组采用常规模式,观察组在对照组基础上实施护理模式。比较两组患者护理前后的管理能力和生活质量。选取 2020 年 7 月至 2022 年 4 月期间在我院住院的 94 例慢性乙型肝炎患者,按照入院时间分为对照组和观察组各 47 例。对照组给予常规模式,观察组在对照组基础上给予护理模式。两组患者均观察焦虑自评量表(SAS)、抑郁自评量表(SDS)、短寿命量表(SF-36)评分,以及干预前后的治疗情况,探讨护理模式在三甲医院乙型肝炎患者管理中的应用及其对患者生活质量的影响。基于研究的前期结果,两组患者的自我评估量表(PIH)评分和生活质量测量综合量表(QOL-BREF)评分之间没有统计学差异(>0.05)。护理 1 个月后,两组的 PIH 评分均低于护理前,QOL-BREF 评分均高于护理前(<0.05)。治疗 1 个月后,观察组的 PIH 评分明显降低,治疗 1 个月后的 QOL-BREF 评分明显高于对照组(<0.05)。观察组的 SAS 和 SDS 评分均低于对照组,生活质量评分和治疗依从性均高于对照组,差异有统计学意义(<0.05)。护理模式能有效提高乙型肝炎患者的管理和生活质量,对乙型肝炎患者的治疗能力和生活质量有显著的积极影响,提高了患者的依从性行为和生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15ca/9484946/6a8396fcd688/CMMM2022-7770955.001.jpg

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