基于知信行的分层干预在肝硬化合并上消化道出血患者护理中的应用
Application of Stratified Intervention Based on Knowledge,Belief,and Action in Nursing Care of Patients with Liver Cirrhosis Complicated with Upper Gastrointestinal Bleeding
吴丹丹 1陈肯1
作者信息
- 1. 信阳市中心医院西院区消化内科,信阳 464000
- 折叠
摘要
目的:探讨基于知信行的分层干预对肝硬化合并上消化道出血(UGIB)患者的影响.方法:选取2021 年1月至 2022 年 12 月本院收治的 86 例肝硬化合并UGIB患者为研究对象.根据干预方式将其分为观察组(n=43,给予基于知信行的分层干预)和对照组(n=43,给予常规分层干预),两组均干预至患者出院.收集两组患者心理弹性、治疗依从性评估结果,统计患者临床指标,并加以比较分析.结果:干预结束时,两组患者心理弹性评分均较干预前升高,且观察组明显高于对照组,差异均有统计学意义(P＜0.05).与对照组比较,观察组整体治疗依从性更佳,止血、肠鸣音恢复以及住院时间均更短,差异均有统计学意义(P＜0.05).结论:肝硬化合并UGIB患者接受基于知信行理念的分层护理干预,能更好地提高患者心理弹性、治疗依从性,促进患者快速康复,早日出院.
Abstract
Objective:To explore the impact of stratified intervention of knowledge,belief,and action on patients with liver cirrhosis complicated with upper gastrointestinal bleeding(UGIB).Methods:A total of 86 patients with liver cirrhosis complicated with UGIB admitted to our hospital from January 2021 to December 2022 were selected as the research objects.They were divided into observation group(n=43,received stratified intervention based on knowledge,attitude and action)and control group(n=43,received routine stratified intervention)according to the intervention methods.Both groups underwent intervened until discharg.Psychological resilience,treatment compliance evaluation and related clinical indicators from the two groups of patients were collected and compared.Results:At the end of the intervention,the psychological resilience scores of both groups of patients were higher,and observation group was higher,and the differences were statistically significant(P＜0.05).The overall treatment compliance of observation group was better than that of control group as well.Shorter hemostasis time,bowel sound recovery time and hospital stay were shorter in observation group compared to control group,and the differences were statistically significant(P＜0.05).Conclusion:Patients with liver cirrhosis and UGIB who receive stratified nursing interventions based on the concept of knowledge,belief,and action can better improve their psychological resilience,treatment compliance,promote rapid recovery,and be discharged to home sooner.
关键词
肝硬化/上消化道出血/分层干预/知信行/心理弹性/依从性Key words
Liver cirrhosis/Upper gastrointestinal bleeding/Stratified intervention/Knowledge/belief and action/Psychological resilience/Compliance引用本文复制引用
出版年
2024
NETL
NSTL
万方数据