基于Cox健康行为互动模式的护理干预对肝移植患者健康结局的影响

目的探讨基于Cox健康行为互动模式(Cox-IMCHB)的理论对肝移植术后患者进行护理干预,改善患者的健康结局和生活质量的效果。方法选取2014年10月—2016年8月吉林大学第一医院符合纳入标准的65例患者作为研究对象,按手术时间先后顺序将患者分为对照组32例和观察组33例。对照组患者接受肝移植术后常规护理,观察组患者依据Cox-IMCHB理论评估后给予综合护理。分别于术后1、6个月收集两组患者治疗依从性、随访情况和对护理服务的满意度情况。结果术后1个月两组患者依从性差异无统计学意义(P>0.05)。术后6个月,观察组的治疗依从性总分为42.00(40.00,43.00)分、自我监测依从性得分2.00(2.00,3.00)分、生活习惯依从性得分17.00(16.00,18.00)分,随访依从性得分7.00(7.00,8.00)分,均高于对照组,差异具有统计学意义(P<0.01)。术后1个月两组患者满意度和随访率差异无统计学意义(P>0.05),术后6个月,观察组对护理服务的满意度和随访率均高于对照组,差异有统计学意义(P<0.05)。结论在Cox-IMCHB理论指导下对肝移植术后患者进行护理干预,可以有效提高患者的远期治疗依从性、随访率和护理服务的满意度,从而促进良好的健康结局。

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).One month after surgery,there were no statistical differences in the patient satisfaction and rate of follow-up between two groups(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.