摘要
目的探讨KTH整合式护理模式在肝硬化并上消化道出血患者护理中的临床效果。方法在2017年9月至2019年2月,本院以整群随机抽样法在收治的肝硬化并上消化道出血患者中选入130例作为研究对象,再按摸球法随机分成两组:对照组(n=65)采取常规护理模式,研究组(n=65)采取KTH整合式护理模式,对比两组患者的再出血发生率,并参考一般自我效能感量表、生活质量测定量表评估患者护理前后的自我效能感与生活质量变化。结果研究组患者的再出血发生率低于对照组(χ^2=3.922,P=0.048);研究组治疗后的自我效能感、生活质量评分均高于对照组(t=17.334、9.766,均P<0.001)。结论KTH整合式护理模式在预防肝硬化并上消化道出血患者再出血上有积极作用,还可增强患者护理后的自我效能感,提高其生活质量水平。
Objective To explore the clinical effect of KTH integrated nursing mode in the nursing of patients with liver cirrhosis and upper gastrointestinal bleeding.Methods From September 2017 to February 2019,130 patients with liver cirrhosis complicated with upper gastrointestinal bleeding were selected as the research objects by cluster random sampling method and randomly divided into control group(n=65)and study group(n=65)with KTH integrated nursing mode self-efficacy scale and quality of life scale were used to evaluate the changes of self-efficacy and quality of life before and after nursing.Results The incidence of rebleeding in the study group was lower than that in the control group(χ^2=3.922,P=0.048);the scores of self-efficacy and quality of life in the study group after treatment were higher than those in the control group(t=17.334,9.766,all P<0.001)。Conclusion KTH integrated nursing mode has a positive effect on preventing rebleeding in patients with liver cirrhosis and upper gastrointestinal bleeding,and can enhance the self-efficacy of patients after nursing and improve their quality of life,which can be used for reference.
作者
高焱
GAO Yan(Shenyang Sixth People's Hospital,Shenyang 110001,China)
出处
《中国医药指南》
2020年第36期232-233,共2页
Guide of China Medicine
关键词
肝硬化
上消化道出血
KTH整合式护理模式
再出血
自我效能
生活质量
Liver cirrhosis
Upper gastrointestinal bleeding
KTH integrated nursing model
Rebleeding
Self-efficacy
Quality of life
