Effect of nursing intervention based on Maslow's hierarchy of needs theory on quality of life and self-efficacy in patients with cirrhosis
Objective To analyze and discuss the effect of nursing intervention based on Maslow's hierarchy of needs theory on quality of life and self-efficacy in patients with post-hepatitis B cirrhosis.Methods A total of 264 patients with cirrhosis admitted to our hospital were enrolled using the simple random sampling.Subjects were randomly divided into observation group(132 cases)and control group(132 cases).At the baseline and follow-up,the basic information and disease progression were collected,the levels of anxiety/depression negative emotional were assessed using the Self-Rating Anxiety/Depression Scale(SAS/SDS).In addition,Chronic Disease Self-Efficacy Scale(CDSES)was used for analysis of self-efficacy level,and Chronic Liver Disease Questionnaire(CLDQ)was performed for evaluation of quality of life of the subjects.Results There was no significant difference in the body mass index(BMI)in both groups between the follow-up and the baseline(P＞0.05).During the follow-up,the liver function indexes in the two groups decreased,which in the observation group decreased more(P＜0.05).The scores of SAS(t=11.212,P=0.000)and SDS(t=12.092,P=0.000)in both groups were significantly lower than those at the baseline(P＜0.05),which in the observation group decreased more(P＜0.05).The CDSES scores in the observation group(t=4.038,P=0.000)and the control group(t=2.576,P=0.036)at follow-up were significantly increased compared with those at the baseline,which were significantly higher in the observation group than in the control group(t=6.435,P=0.000).The total scores of quality of life at the baseline of the two groups were comparable(P＞0.05).The C1DQ scores in the observation group(t=11.243,P=0.000)and the control group(t=7.965,P=0.000)at follow-up were significantly increased compared with those at the baseline,which were significantly higher in the observation group than in the control group(t=19.893,P=0.000).Conclusion The application of nursing intervention based on Maslow's hierarchy of needs theory can effectively improve the self-efficacy level in patients with post-hepatitis B cirrhosis,and thus improving the quality of life,which is worthy of clinical promotion.
Maslow's hierarchy of needs theoryhepatitis Bcirrhosisquality of lifeself-efficacy
NETL
NSTL
万方数据
维普
