Wu Jin-Lan, Liu Jin-Huan, Zhang Li, Shu Yan, Guo Xiao-Li, Gao Ai-Ping
Department of Respiratory and Critical Care Medicine, The People's Hospital of Suzhou New District, Suzhou, Jiangsu, People's Republic of China.
Nursing Department, The People's Hospital of Suzhou New District, Suzhou, Jiangsu, People's Republic of China.
Int J Gen Med. 2023 Jul 31;16:3219-3227. doi: 10.2147/IJGM.S421160. eCollection 2023.
This study aimed to observe the impact of the hospital-community-family integrated nursing paradigm on the compliance, psychological state, and blood lipid levels in patients with hyperlipidemia pancreatitis (HLP).
Totally 66 HLP patients treated in our institution between June 2018 and June 2021 were randomized to Exp group and Con group. The Exp group received the hospital-community-family integrated nursing mode, whereas Con group adopted conventional nursing. Outcome measures included patient compliance, mental state, and blood cholesterol levels.
Patients with integrated nursing exhibited markedly higher compliance than those with conventional nursing, as evinced by higher scores of compliance behavior, compliance awareness, medication attitude, and treatment attitude ( < 0.05). Integrated nursing offered more potent mitigation of negative emotions of patients than conventional nursing ( < 0.05). Integrated nursing resulted in better enhanced quality of life of patients versus conventional nursing ( < 0.05). Superior blood lipid amelioration was observed in patients after integration nursing versus those after conventional nursing, demonstrated by a higher serum high-density lipoprotein (HDL) level, and lower levels of triglycerides (TG), cholesterol (TC), and low-density lipoprotein (LDL) ( < 0.05). Patients were more satisfied with integrated nursing (96.97%) than conventional nursing (72.73%), suggesting a high patient acceptance of the nursing mode ( < 0.05).
The hospital-community-family integrated nursing model provides a viable alternative to enhance HLP patients' compliance and optimize their psychological state and blood lipid levels, demonstrating good potential for clinical promotion.
本研究旨在观察医院 - 社区 - 家庭一体化护理模式对高脂血症性胰腺炎（HLP）患者依从性、心理状态和血脂水平的影响。
选取2018年6月至2021年6月在我院接受治疗的66例HLP患者，随机分为试验组和对照组。试验组采用医院 - 社区 - 家庭一体化护理模式，对照组采用常规护理。观察指标包括患者依从性、心理状态和血胆固醇水平。
一体化护理患者的依从性显著高于常规护理患者，依从行为、依从意识、用药态度和治疗态度得分更高（<0.05）。与常规护理相比，一体化护理更能有效缓解患者的负面情绪（<0.05）。与常规护理相比，一体化护理使患者的生活质量得到更好改善（<0.05）。与常规护理后相比，一体化护理后患者血脂改善更明显，表现为血清高密度脂蛋白（HDL）水平升高以及甘油三酯（TG）、胆固醇（TC）和低密度脂蛋白（LDL）水平降低（<0.05）。患者对一体化护理的满意度（96.97%）高于常规护理（72.73%），表明患者对该护理模式接受度较高（<0.05）。
医院 - 社区 - 家庭一体化护理模式为提高HLP患者依从性、优化其心理状态和血脂水平提供了一种可行的选择，具有良好的临床推广潜力。
