护理研究2025，Vol.39Issue(7)：1155-1160,6.DOI:10.12102/j.issn.1009-6493.2025.07.016
X-Y理论指导的阶段性干预在慢性乙型肝炎肝衰竭病人中的应用
Application of stage intervention guided by X-Y theory in patients with chronic hepatitis B and liver failure
摘要
Abstract
Objective:To observe the effect of staged intervention guided by X-Y theory in patients with chronic hepatitis B and liver failure.Methods:A total of 96 patients with chronic hepatitis B and liver failure admitted to our hospital from March 2021 to December 2023 were selected and divided into the control group and the observation group based on admission time and comparability of data between groups,with 48 patients in each group.The patients in control group received routine intervention mode,while patients in the observation group received staged intervention guided by X-Y theory.Both groups were intervened for 2 months.The disease cognition,disease uncertainty,self-efficacy,compliance behavior,incidence of complications,quality of life,and nursing satisfaction between two groups were compared.Results:After intervention,the observation group had higher scores in basic knowledge,treatment cognition,and daily management than the control group,and the differences were statistically significant(P<0.05);The complexity and uncertainty scores were lower than those of the control group,and the differences were statistically significant(P<0.05);The scores of symptom management self-efficacy and disease management self-efficacy were higher than those of the control group,and the differences were statistically significant(P<0.05);The adherence to medical treatment in terms of timely medication,good lifestyle habits,and appropriate exercise was superior to the control group,and the differences were statistically significant(P<0.05);The incidence of complications such as hepatorenal syndrome and secondary infections was lower in the control group,and the difference was statistically significant(P<0.05);Chronic Liver Disease Quality of Life Scale score was higher than that of the control group,and the difference was statistically significant(P<0.05);The nursing satisfaction in terms of health education and communication was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:The staged intervention guided by the X-Y theory could effectively improve the disease awareness of patients with chronic hepatitis B and liver failure,reduce disease uncertainty,enhance self-efficacy and compliance behavior,reduce the risk of complications,and improve quality of life.关键词
慢性乙型肝炎肝衰竭/X-Y理论/阶段性干预/生活质量/并发症/疾病认知/遵医行为/护理Key words
chronic hepatitis B and liver failure/X-Y theory/staged intervention/quality of life/complication/cognition of diseases/compliance behavior/nursing引用本文复制引用
朱红芹,柏雪梅,罗玉琼,沈琼..X-Y理论指导的阶段性干预在慢性乙型肝炎肝衰竭病人中的应用[J].护理研究,2025,39(7):1155-1160,6.基金项目
国家自然科学基金青年项目,编号:82202624 （）
