家庭护理干预对肝硬化患者生存质量的影响

目的:探讨家庭护理干预对肝硬化患者生活质量的影响.方法:对照组采用常规护理,干预组采用家庭护理干预,采用生活质量核心问卷和自行设计问卷分析家庭护理干预对肝硬化患者生活质量和遵医嘱率的影响.结果:实施家庭护理干预后,肝硬化患者生活质量各因子水平均得到改善,干预组在出院后3个月和6个月整体生活质量评分均显著高于对照组(P<0.01);此外,功能领域、症状领域、单项症状各因子与对照组差异也均有统计学意义(P<0.05～P<0.01);干预组患者在出院3个月和6个月后正确服药、生活规律、合理饮食、适量运动、防止感染和心理调节方面遵医嘱率均高于对照组(P<0.05～P<0.01).结论:家庭护理干预可以提高肝硬化患者的生活质量和遵医嘱率水平,值得在实践中推广.

Effect of family nursing intervention on the quality of life of liver cirrhosis patients

Objective:To investigate the effects of family nursing intervention on the quality of life of liver cirrhosis patients.Methods:The effects of family nursing intervention on the quality of life and compliance of liver cirrhosis patients were analyzed by QLQ-C30 and self-designed questionnaire.The experimental group and control group were treated with family nursing intervention and routine nursing, respectively.Results:The factors levels of the quality of life of liver cirrhosis patients were improved after family nursing intervention, the overall quality scores of life in experimental group after 3 months and 6 months of discharge were significantly higher than those in control group(P<0.01).The differences of the functional areas, symptoms areas and individual symptom factor between two groups were statistically significant(P<0.05 to P<0.01).The right medicine, daily routine, reasonable diet, moderate exercise, preventing infection and psychological adjustment compliance rate in experimental group after 3 months and 6 months of discharge were higher than those in control group(P<0.05 to P<0.01).Conclusions:Family nursing intervention can improve the quality of life and compliance of liver cirrhosis patients, which is worth of popularization in practice.