KTH整合式护理干预对肝移植术后患者自我效能及生活质量的影响
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摘要
目的:探讨KTH整合式护理干预对肝移植术后患者自我效能及生活质量的影响。方法:选取2015年7月~2017年1月在我院行肝移植术的114例患者为研究对象,随机将其等分为对照组和观察组,对照组采用常规护理,观察组采用KTH整合式护理干预,两组均干预2个月。比较两组自我效能、生活质量及护理满意度评分及并发症发生情况。结果:观察组内心活动维度及技能维度评分均明显高于对照组(P<0.05),两组干预前身体功能、心理功能、社会功能、物质生活评分比较差异无统计学意义(P>0.05),干预后两组各项评分均提高(P<0.05),且观察组显著高于对照组(P<0.05),观察组住院环境、服务态度、护理技巧、健康教育等方面护理满意度评分显著高于对照组(P<0.05),观察组并发症发生率低于对照组(P<0.05)。结论:KTH整合式护理干预可增强肝移植术后患者的自我效能感,改善生活质量及护理满意度,减少并发症发生率。
Objective:To explore the KTH integrated nursing intervention influencing patient self-efficacy and life quality after liver transplantation.Methods:To select 114 patients operated with liver transplantation at our hospital from July 2015 to January 2017;to divide them randomly into observation group and control group;control group received usual care while observation group received KTH integrated nursing;the intervention lasted for 2 months.Both groups were compared in terms of self-efficacy,life quality,nursing satisfaction and occurrence of complication.Results:The score of inner activity dimension and skill dimension in observation group was obviously higher than that in control group(P<0.05);there was no statistical significance in the score of physical function,psychological function,social function and material life before intervention(P>0.05);each score was improved for both groups after intervention(P<0.05) and observation group was significantly higher than control group(P<0.05);nursing satisfaction score to observation group in terms of environment,service attitude,nursing skill and health education was significantly higher than that to control group(P<0.05);and observation group had lower rate of complication occurrence than control group(P<0.05).Conclusion:KTH integrated nursing intervention could enhance self-efficacy,improve life quality and nursing satisfaction,and decrease complication occurrence for patients after liver transplantation operation.
Objective:To explore the KTH integrated nursing intervention influencing patient self-efficacy and life quality after liver transplantation.Methods:To select 114 patients operated with liver transplantation at our hospital from July 2015 to January 2017;to divide them randomly into observation group and control group;control group received usual care while observation group received KTH integrated nursing;the intervention lasted for 2 months.Both groups were compared in terms of self-efficacy,life quality,nursing satisfaction and occurrence of complication.Results:The score of inner activity dimension and skill dimension in observation group was obviously higher than that in control group(P<0.05);there was no statistical significance in the score of physical function,psychological function,social function and material life before intervention(P>0.05);each score was improved for both groups after intervention(P<0.05) and observation group was significantly higher than control group(P<0.05);nursing satisfaction score to observation group in terms of environment,service attitude,nursing skill and health education was significantly higher than that to control group(P<0.05);and observation group had lower rate of complication occurrence than control group(P<0.05).Conclusion:KTH integrated nursing intervention could enhance self-efficacy,improve life quality and nursing satisfaction,and decrease complication occurrence for patients after liver transplantation operation.
引文
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[7]黄树琴.KTH整合式护理干预对社区2型糖尿病患者自我效能的影响[J].护理实践与研究,2016,13(23):137-139.
[8]陈宇.KTH整合式干预模式在社区2型糖尿病患者中的应用及对患者生活质量的影响[J].中西医结合心脑血管病杂志,2016,14(19):2333-2335.
[9]鲁为凤,徐成惠.预见性护理模式在肝移植手术中临床应用效果分析[J].湖南中医药大学学报,2016,38(A02):1227.
[2]Middelkamp J,van Rooijen M,Wolfhagen P,et al.The Effects of a Self-Efficacy Intervention on Exercise Behavior of Fitness Club Members in 52 Weeks and Long-Term Relationships of Transtheoretical Model Constructs[J].J Sports Sci Med,2017,16(2):163-171.
[3]张作记.生活质量评定量表选介[J].中华行为医学与脑科学杂志,2011,20(5):101-103.
[4]Vetrugno L,Barbariol F,Baccarani U,et al.Transesophageal echocardiography in orthotopic liver transplantation:a comprehensive intraoperative monitoring tool[J].Crit Ultrasound J,2017,9(1):15-17.
[5]张晓红,杨旺燕,傅润乔.终末期肝病原位肝移植术围手术期的血流动力学和内稳态变化及麻醉处理[J].临床和实验医学杂志,2016,15(20):2013-2016.
[6]Cascales-Campos PA,Romero PR,Schneider MA,et al.Positron emission tomography/computed tomography in patients with hepatocellular carcinoma undergoing liver transplantation.Useful,necessary or irrelevant[J].Eur J Radiol,2017,18(91):155-159.
[7]黄树琴.KTH整合式护理干预对社区2型糖尿病患者自我效能的影响[J].护理实践与研究,2016,13(23):137-139.
[8]陈宇.KTH整合式干预模式在社区2型糖尿病患者中的应用及对患者生活质量的影响[J].中西医结合心脑血管病杂志,2016,14(19):2333-2335.
[9]鲁为凤,徐成惠.预见性护理模式在肝移植手术中临床应用效果分析[J].湖南中医药大学学报,2016,38(A02):1227.