摘要
目的:探讨中医特色慢病管理对酒精性肝硬化患者自我管理能力和生活质量的影响。方法:选取84例酒精性肝硬化患者,应用随机数字分组法分为观察组与对照组,每组42例。对照组实施常规延续性护理,观察组实施中医特色慢病管理,共护理6个月。对比两组患者治疗总体疗效,不同时间点自我管理能力与生活质量评分及血清谷氨酰转移酶(gamma-glutamyltransferase,GGT)、门冬氨酸氨基转移酶(aspartase aminotransferase,AST)/丙氨酸氨基转移酶(alanine aminotransferase,ALT)的表达水平。结果:观察组总有效率[92.86%(39/42)]明显高于对照组[73.81%(31/42)](P<0.05);两组干预后3、6个月自我管理能力与生活质量评分明显升高,且观察组高于对照组(P<0.05);两组干预后3、6个月AST/ALT水平明显升高,GGT明显降低,且观察组改善程度优于对照组(P<0.05)。结论:对酒精性肝硬化患者应用中医特色慢病管理能够提升患者治疗效果,提升患者出院后的自我管理能力,改善肝功能,进而提升患者生活质量。
Objective:To discuss the influence of TCM-featured chronic disease management on self-management ability and quality of life of patients with alcoholic liver cirrhosis.Methods:All 84 patients were chosen and separated into the control group and the observation group using random number grouping method with 42 cases in each group.The control group carried out conventional continuing care,and the observation group TCM-featured chronic disease management,all cared for six months.To compare overall efficacy of the treatment,selfmanagement ability at different times,the scores of quality of life,the expressions of GGT and AST/ALT between both groups.Results:Total effective rate of the observation group was[92.86%(39/42)],noticeably higher than[73.81%(31/42)]of the control group(P<0.05);the scores of self-management ability and quality of life of the two groups increased remarkably three and six months after the intervention,and the observation group was higher than the control group(P<0.05);the levels of AST/ALT of the two groups raised apparently three and six months after the intervention,GGT decreased obviously,and the improvements of the observation group were better than these of the control group(P<0.05).Conclusion:TCM-featured chronic disease management for patients with alcoholic liver cirrhosis could improve therapeutic effects,raise self-management ability after discharging,improve liver function,and then improve the patients'quality of life.
作者
黄婷霞
荀林娟
毛燕君
HUANG Tingxia;XUN Linjuan;MAO Yanjun(Shanghai Tenth People's Hospital/Tenth People's Hospital of Tongji University,Shanghai 200072,China;Shanghai Pulmonary Hospital,Shanghai 200433,China)
出处
《西部中医药》
2023年第6期122-125,共4页
Western Journal of Traditional Chinese Medicine
基金
上海市“科技创新行动计划”自然科学基金(19ZR1446500)。
关键词
肝硬化
酒精性
慢病管理
自我管理能力
生活质量
肝功能
liver cirrhosis,alcoholic
chronic disease management
self-management ability
quality of life
liver function
