基于客户健康行为的护理干预Cox交互模型对肝移植患者健康结果的影响

Dandan Zhang, Ying Yu, Wentao Li
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摘要

目的探讨基于Cox-IMCHB的护理干预对肝移植患者健康结果和生活质量的影响。方法选择吉林大学白求恩第一医院2014年10月至2016年8月符合纳入和排除标准的65例患者作为受试者。根据手术顺序将患者分为对照组(n=32)和观察组(n=33)。对照组对肝移植患者进行常规护理,观察组则根据Cox-IMCHB理论进行综合护理。观察两组患者术后1个月和6个月的治疗依从性、随访率和护理服务满意度。结果术后1个月,两组患者的依从性差异无统计学意义(P>0.05)。术后6个月,观察组治疗依从性总分、自我监测依从性得分、生活习惯依从性得分和随访依从性得分分别为42.00(40.00,43.00)、2.00(2.00,3.00),术后6个月,观察组患者满意度和随访率均高于对照组,差异有统计学意义(P<0.05)以促进有利的结果。关键词:肝移植;生活质量;健康结果;客户健康行为的Cox交互模型;合规性;满意度;跟进
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Cox interaction model of client health behavior-based nursing intervention on health outcomes among patients receiving liver transplantation
Objective To explore the effects of Cox interaction model of client health behavior (Cox-IMCHB) -based nursing intervention on health outcomes and quality of life (QOL) among patients receiving liver transplantation. Methods From October 2014 to August 2016, this study selected 65 patients met the inclusion and exclusion criteria in the First Bethune Hospital of Jilin University as subjects. Patients were divided into control group (n=32) and observation group (n=33) according to surgery order. Control group carried out the routine nursing for patients receiving liver transplantation, while observation group implemented the comprehensive nursing based on the Cox-IMCHB theory. Treatment compliance, follow-up rate and nursing service satisfaction of patients between two groups were observed one month and six months after surgery. Results One month after surgery, there was no statistical difference in the compliance of patients between two groups (P>0.05) . Six months after surgery, the total score of treatment compliance, scores of self-monitoring compliance, living habits compliance and follow-up compliance in observation group were 42.00 (40.00, 43.00) , 2.00 (2.00, 3.00) , 17.00 (16.00, 18.00) and 7.00 (7.00, 8.00) higher than those in control group with statistical differences (P 0.05) . Six months after surgery, the patient satisfaction and rate of follow-up in observation group were higher than those in control group with statistical differences (P<0.05) . Conclusions Cox-IMCHB-based nursing intervention for patients receiving liver transplantation can improve patients' long-term treatment compliance and patient satisfaction with utilization of medical service resource as well as nursing care so as to promote favorable outcomes. Key words: Liver transplantation; Quality of life; Health outcome; Cox interaction model of client health behavior; Compliance; Satisfaction; Follow-up
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