连续性护理在肝硬化失代偿期患者中的应用研究(1)
【摘要】 目的：探讨对肝硬化失代偿期患者进行自医院到社区的连续性护理的效果。方法：将170例患者随机分为干预组及对照组各85例。干预组进行自医院到社区的连续性护理，对照组只进行常规的健康教育。在进行干预的前、后1、3、6、12个月对两组患者的生活质量、服药依从性、再入院率及病死率等指标通过服药依从性量表、生活质量量表、概率统计等方式进行评估。结果：干预后1、3、6、12个月，干预组患者的服药依从性得分为(15.46±3.34)分、(15.38±3.12)分、(16.65±2.43)分、(16.12±2.36)分，均优于对照组的(13.84±4.26)分、(14.87±2.56)分、(15.78±2.89)分、(15.67±4.86)分，差异均有统计学意义(t=-2.185、-2.232、-2.654、-2.978，P值均小于0.05)；生活质量得分为(68.43±13.40)分、(73.99±14.21)分、(75.54±13.33)分、(78.12±14.53)分，均优于对照组的(57.56±17.45)分、(61.78±17.83)分、(63.07±18.54)分、(64.62±17.36)分，差异均有统计学意义(t=-2.460、-3.982、-5.478、-6.325，P均<0.05)。干预组患者病死率为3.53%，对照组病死率为11.76%，两组比较差异有统计学意义( 字2=5.543，P<0.05)；两组患者3、12个月的再入院率比较差异均有统计学意义(P<0.05)。结论：采用自医院到社区的连续性护理可以促进对肝硬化失代偿期患者的有效管理。
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【关键词】 肝硬化失代偿期； 社区卫生服务； 无缝隙护理
The Application Research of Continuity Care in Patients with Cirrhosis of the Liver Decompensation Period/LI Qing-hua.//Medical Innovation of China，2015，12(36)：078-081
【Abstract】 Objective：To study the patients with decompensated liver cirrhosis from the hospital to the effects of the continuity of community nursing. Method： 170 patients were randomly divided into intervention group and control group， 85 cases in each group. The intervention group was given from hospital to the continuity of community nursing care， while the control group only was given routine health education. And during the intervention before and after 1 month， 3， 6， 12 months ， the quality of life， medication adherence， two groups of readmission rate and mortality of two groups were evaluated through medication adherence scale， quality of life scale， in the form of probability. Result： After the intervention， the patient’s 1 month， 3， 6， 12 months medication adherence score of the intervention group were (15.46±3.34)，(15.38±3.12)，(16.65±2.43)，(16.12±2.36) scores，were better than that of control group (13.84±4.26)， (14.87±2.56)，(15.78±2.89)，(15.67±4.86) scores，the differences were statistically significant (t=2.185，2.185，2.185，2.978，P<0.05).Quality of life score were (68.43±13.40)，(73.99±14.21)，(75.54±13.33)，(78.12±14.53) scores，were better than that of control group (57.56±17.45)，(61.78±17.83)，(63.07±18.54)，(64.62±17.36) scores， the differences were statistically significant (t=2.460，3.982，2.460，6.325，P<0.05).Readmission rate and case fatality rate， the case fatality rate was 3.53% of the intervention group， the control group was 11.76%， the difference between the two groups was statistically significant ( 字2=5.543， P<0.05). The 3 and 12 months’ readmission rate of the two groups had statistical significance (P<0.05). Conclusion：From the hospital to the continuity of community nursing can promote the effective management of patients with cirrhosis of the liver decompensation period., 百拇医药(李庆华)
, http://www.100md.com
【关键词】 肝硬化失代偿期； 社区卫生服务； 无缝隙护理
The Application Research of Continuity Care in Patients with Cirrhosis of the Liver Decompensation Period/LI Qing-hua.//Medical Innovation of China，2015，12(36)：078-081
【Abstract】 Objective：To study the patients with decompensated liver cirrhosis from the hospital to the effects of the continuity of community nursing. Method： 170 patients were randomly divided into intervention group and control group， 85 cases in each group. The intervention group was given from hospital to the continuity of community nursing care， while the control group only was given routine health education. And during the intervention before and after 1 month， 3， 6， 12 months ， the quality of life， medication adherence， two groups of readmission rate and mortality of two groups were evaluated through medication adherence scale， quality of life scale， in the form of probability. Result： After the intervention， the patient’s 1 month， 3， 6， 12 months medication adherence score of the intervention group were (15.46±3.34)，(15.38±3.12)，(16.65±2.43)，(16.12±2.36) scores，were better than that of control group (13.84±4.26)， (14.87±2.56)，(15.78±2.89)，(15.67±4.86) scores，the differences were statistically significant (t=2.185，2.185，2.185，2.978，P<0.05).Quality of life score were (68.43±13.40)，(73.99±14.21)，(75.54±13.33)，(78.12±14.53) scores，were better than that of control group (57.56±17.45)，(61.78±17.83)，(63.07±18.54)，(64.62±17.36) scores， the differences were statistically significant (t=2.460，3.982，2.460，6.325，P<0.05).Readmission rate and case fatality rate， the case fatality rate was 3.53% of the intervention group， the control group was 11.76%， the difference between the two groups was statistically significant ( 字2=5.543， P<0.05). The 3 and 12 months’ readmission rate of the two groups had statistical significance (P<0.05). Conclusion：From the hospital to the continuity of community nursing can promote the effective management of patients with cirrhosis of the liver decompensation period., 百拇医药(李庆华)