首页|预先控制模式联合叙事干预在肝硬化失代偿期患者中的应用

预先控制模式联合叙事干预在肝硬化失代偿期患者中的应用

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目的:分析预先控制模式联合叙事干预在肝硬化失代偿期患者中的临床效果.方法:选取2021年4月-2023年4月江西省于都县人民医院收治的68例肝硬化失代偿期患者作为研究对象,采用随机数表法分为观察组(n=34)和对照组(n=34).对照组给予常规护理,观察组给予预先控制模式联合叙事干预,两组患者均干预至出院;比较两组患者生存质量、心理状态、疾病认知及住院期间并发症情况.结果:出院时,观察组患者慢性肝病问卷(CLDQ)评分高于对照组,焦虑和抑郁评分低于对照组,差异均有统计学意义(t=3.258、2.082、2.274,P<0.05);观察组患者疾病认知各维度评分高于对照组,差异均有统计学意义(t=5.266、2.762、2.595、2.843,P<0.05);观察组患者并发症发生率低于对照组,差异有统计学意义(x2=4.610,P<0.05).结论:预先控制模式联合叙事干预可提高肝硬化失代偿期患者生存质量,降低负面情绪,增强疾病认知度,降低住院期间并发症发生率.
Application of Pre-control Mode Combined with Narrative Intervention in Patients with Decompensated Liver Cirrhosis
Objective:To analyze the clinical application effect of pre-control mode combined with narrative intervention in patients with decompensated liver cirrhosis.Methods:A total of 68 patients with decompensated liver cirrhosis in the hospital from April 2021 to April 2023 were randomly divided into observation group and control group,with 34 patients in each group.The control group received routine care,and the observation group received pre control mode combined with narrative intervention.They were intervened until discharge.The quality of life,psychological status,disease cognition,and complications during hospitalization were compared between the two groups.Results:After the intervention,the chronic liver disease questionnaire(CLDQ)scores and disease cognition scores in both groups were higher than before the intervention,while anxiety and depression scores were lower than before the intervention(t=3.258,2.082,2.274;P<0.05).The improvement in the above scores in the observation group was better than that in the control group(t=5.266,2.762,2.595,2.843;P<0.05).The incidence of complications in the observation group was lower than that in the control group(x2=4.610,P<0.05).Conclusion:The combination of pre-control mode and narrative intervention can improve the quality of life of patients with decompensated liver cirrhosis,reduce negative emotions,enhance disease awareness,and reduce the incidence of complications during hospitalization.

Decompensated liver cirrhosisPre-control modeNarrative careQuality of lifePsychological condition

李靓萍

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江西省于都县人民医院,江西 于都 342300

肝硬化失代偿期 预先控制模式 叙事护理 生存质量 心理状况

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(23)