摘要
目的探讨基于Siebens模式的延伸管理对肝硬化消化道出血患者心理状态及Rockall、Child-Pugh评分的影响。方法选取2021年4月至2023年8月于郑州大学第一附属医院就诊的肝硬化消化道出血患者90例,采用随机数表法分为研究组和常规组各45例。常规组患者给予常规延伸护理,研究组患者在常规组基础上给予基于Siebens模式的延伸管理,两组均干预3个月。比较两组患者的干预前和干预3个月后(干预后)的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自我管理能力、Rockall评分、Child-Pugh评分和生活质量[生活质量综合评定问卷-74(GQOL-74)]。结果干预后,研究组患者的SAS、SDS评分分别为(42.29±3.22)分、(40.36±4.77)分,明显低于常规组的(52.31±5.74)分、(50.87±5.28)分,差异均有统计学意义(P<0.05);干预后,研究组患者的自我管理认知、自我管理行为、自我管理环境评分及自我管理能力总分分别为(8.76±0.56)分、(17.74±1.11)分、(8.59±0.47)分、(35.09±2.00)分,明显高于常规组的(7.12±1.14)分、(14.29±3.06)分、(6.87±1.15)分、(28.28±3.29)分,差异均有统计学意义(P<0.05);干预后,研究组患者的Rockall、Child-Pugh评分分别为(1.02±0.25)分、(5.85±0.21)分,明显低于常规组的(2.39±0.34)分、(7.12±0.62)分,差异均有统计学意义(P<0.05);干预后,研究组患者GQOL-74量表中的物质生活、躯体功能、心理功能、社会功能评分及GQOL-74总分分别为(86.54±5.14)分、(90.38±3.76)分、(94.16±2.27)分、(95.97±1.34)分、(367.05±12.21)分,明显高于常规组的(80.16±4.76)分、(85.76±3.22)分、(87.46±3.78)分、(89.77±3.87)分、(343.15±10.74)分,差异均有统计学意义(P<0.05)。结论基于Siebens模式的延伸管理可改善肝硬化消化道出血患者心理状态,降低Rockall、Child-Pugh评分,提升患者自我管理能力和生活质量。
Objective To investigate the effects of extended management based on Siebens model on the men-tal state,and Rockall score,and Child-Pugh score of cirrhosis patients with gastrointestinal bleeding.Methods A total of 90 cirrhosis patients with gastrointestinal bleeding who were treated at the First Affiliated Hospital of Zhengzhou Uni-versity from April 2021 to August 2023 were selected and randomly divided into a study group and a control group using a random number table,with 45 patients in each group.The patients in the control group received routine extended care,while the patients in the study group received extended management based on the Siebens model in addition to routine care.Both groups were intervened for 3 months.The psychological status(Self-rating Anxiety Scale,SAS;Self-rating Depression Scale,SDS),self-management ability,Rockall score,Child-Pugh score,and quality of life(Generic Quali-ty of Life Inventory-74,GQOL-74)of the two groups were compared before and after intervention.Results After in-tervention,the SAS and SDS scores of patients in the study group were(42.29±3.22)points and(40.36±4.77)points,re-spectively,which were significantly lower than(52.31±5.74)points and(50.87±5.28)points in the control group(P<0.05).After intervention,the scores of self-management cognition,self-management behavior,self-management environ-ment,and total self-management ability of patients in the study group were(8.76±0.56)points,(17.74±1.11)points,(8.59±0.47)points,and(35.09±2.00)points,respectively,which were significantly higher than(7.12±1.14)points,(14.29±3.06)points,(6.87±1.15)points,and(28.28±3.29)points in the control group(P<0.05).After intervention,the Rockall and Child-Pugh scores of patients in the study group were(1.02±0.25)points and(5.85±0.21)points,respec-tively,which were significantly lower than(2.39±0.34)points and(7.12±0.62)points in the conventional group(P<0.05).After intervention,the scores of material life,physical function,psychological function,social function,and to-tal s
作者
董晓艳
谢佳
高文倩
马萌
DONG Xiao-yan;XIE Jia;GAO Wen-qian;MA Meng(Department of Gastroenterology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan,CHINA)
出处
《海南医学》
CAS
2024年第17期2543-2548,共6页
Hainan Medical Journal
基金
2020年度河南省医学科技攻关计划联合共建项目(编号:LHGJ20200892)。
