Objective To explore the effect of intensive management based on the Kolcaba's comfort theory on the psychological burden and comfort of patients with liver abscess.Methods A total of 106 patients with liver abscess admitted from January 2018 to March 2023 were selected as the research objects,and they were randomly divided into study group and control group by random number table method,with 53 cases in each group.Patients in the control group received routine nursing,and those in the study group received intensive management based on the Kolcaba's comfort theory in addition to the control group.The efficacy was evaluated after a continuous treatment for 3 months in both groups.Anxiety and depression assessed by the Positive and Negative Affect Schedule(PANAS),comfort assessed by the Kolcaba General Comfort Questionnaire(GCQ),complications,quality of life assessed by the Chinese version of Quality of Life Questionnaire Core-30(QLQ-C30),self-care ability assessed by the Exercise of Self-Care Agency(ESCA)Scale and nursing satisfaction were compared.Results Before nursing,there was no significant difference in comfort scores between the two groups(P＞0.05).After nursing,the comfort scores of both groups increased,and the scores of physiological,psychological,sociocultural and environmental in the study group were significantly higher than those in the control group(P＜0.05).Before nursing,there was no significant difference in the PANAS score between the two groups(P＞0.05).After nursing,the PANAS score in both groups was significantly lower than that before surgery(P＜0.05),which was significantly lower in the study group than the control group(P＜0.05).There was a significant difference in the incidence of complications between the two groups(P＜0.05),and the study group was significantly lower than the control group(P＜0.05).After nursing,ESCA and QLQ-C30 scores increased in both groups,and they were significantly higher in the study group than the control group(P＜0.05).The nursing satisfaction of study group was significantly higher than that of control group(P＜0.05).Conclusion Intensive management based on the Kolcaba's comfort theory in patients with liver abscess can significantly improve comfort,relieve psychological burden,reduce the incidence of complications,improve quality of life,self-care ability and satisfaction.
patients with liver abscessKolcaba's comfort theoryintensive managementcomfortmentalityKolcaba General Comfort Questionnaire
维普
万方数据
