互联网+5E康复护理模式在肝硬化主要照护者中的应用OA
Application of Internet+5E rehabilitation nursing model in the main caregivers of cirrhosis
目的 分析互联网+5E康复护理模式在肝硬化主要照护者中的应用.方法 选取 2020 年 12 月至 2023 年 12 月于笔者医院收治的 120 例肝硬化患者为研究对象,采用随机数字表法分为对照组、研究组每组 60 例,对照组采用常规干预措施,研究组采用互联网+5E康复护理模式,观察两组主要照护者照顾负担、自我效能感,分析患者肝功能、负性情绪、生活质量、自我管理水平、应对方式.结果 干预后两组主要照护者照顾负担评分降低,自我效能感评分升高,且研究组低于/高于对照组(P<0.05).干预后两组患者总胆红素(total bilirubin,TBIL)、天冬氨酸转移酶(aspartate transferase,AST)水平、肝功能Child-Pugh评分、焦虑、抑郁、回避、屈服评分降低,且研究组低于对照组,差异有统计学意义(P<0.05).干预后两组患者生活质量、自我管理水平评分升高,且研究组高于对照组,差异有统计学意义(P<0.05).结论 肝硬化患者与主要照护者采用基于互联网+5E康复护理模式干预,可改善患者应对方式,使患者自我管理能力、生活质量提高降低主要照护者的负担.
Objective To analyze the application of Internet+5E rehabilitation nursing model in the main caregivers of cirrhosis Methods Totally 120 patients with liver cirrhosis who were admitted to our hospital from December 2020 to December 2023 were selected as the research objects.They were divided into a control group and a research group with 60 cases each according to the random number table method.The control group adopted conventional intervention measures,and the research group adopted the Internet+5E rehabilitation nursing mode.The care burden and self-efficacy of the main caregivers of the two groups were observed,and the liver function,negative emotions,quality of life,self-management level,and coping style of the patients were analyzed.Results After intervention,the burden of care scores for the two main caregivers decreased,self-efficacy scores increased,and the study group was lower/higher than the control group(P<0.05).After intervention,the total bilirubin(TBIL),aspartate transferase(AST)levels,liver function Child Pugh score,anxiety,depression,avoidance,and yield scores of the two groups of patients decreased,and the study group was lower than the control group(P<0.05);After intervention,the quality of life and self-management scores of the two groups of patients increased,and the study group was higher than the control group(P<0.05).Conclusion The intervention of the Internet+5E rehabilitation nursing model for patients with liver cirrhosis and main caregivers can reduce the burden of the main caregivers,improve the patients'self-management ability and quality of life,and improve the patients'coping style.
陈茹;林秀丽;陈艳艳;郑琪琪
温州医科大学附属第一医院感染科,浙江温州 3250001
临床医学
肝硬化主要照护者互联网+5E康复护理模式自我管理能力
Liver cirrhosisPrimary caregiversInternet+5E rehabilitation nursing modeSelf management ability
《中国现代医生》 2024 (023)
35-39 / 5
浙江省温州市基础性医疗卫生科技项目(Y20210866)
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