Effect of path feedforward control nursing mode on patients with severe hepatitis
Objective To explore the effect of path feedforward control nursing mode on treatment compliance,self-care ability,and quality of life in patients with severe hepatitis.Methods A prospective study method was used to select 134 patients with severe hepatitis admitted to the Department of Hepatology of Xi'an Eighth Hospital from July 2022 to October 2023,including 71 males and 53 females,aged 25-68 years,with an age of(45.16±8.16)years old.The disease classification was acute in 32 cases,subacute in 27 cases,and chronic in 71 cases.The disease type was viral in 68 cases,alcoholic in 32 cases,fatty in 21 cases,and drug-induced in 13 cases.The patients were divided into two groups by the random number table method,with 67 cases in each group.During the research process,2 cases were lost in each group.The control group implemented routine nursing mode,while the observation group implemented path feedforward control nursing mode.The nursing in both groups began on the next day after admission and ended 2 weeks after discharge.The scores of the 8-item Morisky Medication Adherence Scale(MMAS-8),the Chinese version of the Revised Self-Care Ability Assessment Scale(ASAS-R-C),and the Chinese version of the Liver Disease Quality of Life Scale 1.0(LDQOL1.0)were compared between the two groups on the next day after admission and 2 weeks after discharge.Independent sample t test,paired t test,and x2 test were used.Results Two weeks after discharge,the MMAS-8 score of the observation group[(6.03±1.34)points]was higher than that of the control group[(5.17±1.54)points](P＜0.05).The scores of general self-care needs[(19.78±4.88)points],developmental self-care needs[(16.80±3.93)points],and self-care needs when in poor health status[(14.00±2.90)points]and total score of the ASAS-R-C[(50.58±7.48)points]in the observation group were higher than those in the control group[(17.89±4.39)points,(14.69±3.59)points,(12.06±3.17)points,and(44.65±6.66)points](all P＜0.05).The scores of liver disease symptoms[(82.46±6.27)points],attention[(79.32±7.93)points],memory[(82.12±8.08)points],social quality[(80.40±7.14)points],sleep[(72.97±7.47)points],loneliness[(81.82±6.86)points],feeling of hopelessness[(79.31±10.58)points],feeling of shame[(74.29±10.95)points],sexual function[(80.62±1 1.46)points],and sexual life[(86.20±9.72)points]and total score[(79.54±2.39)points]of the LDQOL1.0 in the observation group were higher than those in the control group[(79.89±7.68)points,(73.78±8.22)points,(78.86±8.80)points,(75.14±7.60)points,(70.03±8.45)points,(78.88±8.44)points,(74.18±9.02)points,(69.80±12.40)points,(75.08±11.68)points,(80.55±10.02)points,and(75.55±2.83)points](all P＜0.05).Conclusion The path feedforward control nursing mode is helpful to improve the treatment compliance and self-care ability in patients with severe hepatitis,and plays an important role in improving the patients'quality of life.
Severe hepatitisPath feedforward control nursing modeTreatment complianceSelf-care abilityQuality of life
万方数据
维普
