中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
35期
4327-4330
,共4页
肝硬化%护理%纽曼系统模式%压力源
肝硬化%護理%紐曼繫統模式%壓力源
간경화%호리%뉴만계통모식%압력원
Liver cirrhosis%Nursing%Neuman systems model%Pressure source
目的：研究纽曼系统模式用于肝硬化失代偿期患者的护理效果。方法将肝硬化失代偿期患者150例，按照随机数字表分成观察组和对照组各75例，对照组依照临床分级护理内容标准及患者自理能力评估量表进行护理，观察组在此基础上根据患者机体内外因素、人际因素等方面存在的压力源对机体弹性防线、正常防线、抵抗防线的影响，应用纽曼系统模式进行一、二、三级预防措施干预，两组均于入院时及出院后随访1年，采用汉密尔顿抑郁量表（ HRSD）、简明健康状况问卷（ SF-36）中文版进行测评，比较两组患者抑郁症状、生存质量、住院时间、随访1年再住院率及病死率。结果观察组干预后HRSD评分、SF-36评分、住院时间分别为（33．4±4．1）分，（74．6±4．5）分，（10．2±3．5）d，优于对照组的（46．3±5．2）分，（56．1±5．1）分，（14．3±4．5）d，两组比较差异有统计学意义（t分别为11．40，9．30，1．41；P＜0．05）；观察组患者随访1年再住院率、病死率分别为24％，10％，明显低于对照组的53％，24％，两组比较差异有统计学意义（χ2分别为2．1，3．4；P＜0．01）。结论纽曼系统模式用于肝硬化患者的护理有较好的效果，该模式可在临床进一步推广和应用。
目的：研究紐曼繫統模式用于肝硬化失代償期患者的護理效果。方法將肝硬化失代償期患者150例，按照隨機數字錶分成觀察組和對照組各75例，對照組依照臨床分級護理內容標準及患者自理能力評估量錶進行護理，觀察組在此基礎上根據患者機體內外因素、人際因素等方麵存在的壓力源對機體彈性防線、正常防線、牴抗防線的影響，應用紐曼繫統模式進行一、二、三級預防措施榦預，兩組均于入院時及齣院後隨訪1年，採用漢密爾頓抑鬱量錶（ HRSD）、簡明健康狀況問捲（ SF-36）中文版進行測評，比較兩組患者抑鬱癥狀、生存質量、住院時間、隨訪1年再住院率及病死率。結果觀察組榦預後HRSD評分、SF-36評分、住院時間分彆為（33．4±4．1）分，（74．6±4．5）分，（10．2±3．5）d，優于對照組的（46．3±5．2）分，（56．1±5．1）分，（14．3±4．5）d，兩組比較差異有統計學意義（t分彆為11．40，9．30，1．41；P＜0．05）；觀察組患者隨訪1年再住院率、病死率分彆為24％，10％，明顯低于對照組的53％，24％，兩組比較差異有統計學意義（χ2分彆為2．1，3．4；P＜0．01）。結論紐曼繫統模式用于肝硬化患者的護理有較好的效果，該模式可在臨床進一步推廣和應用。
목적：연구뉴만계통모식용우간경화실대상기환자적호리효과。방법장간경화실대상기환자150례，안조수궤수자표분성관찰조화대조조각75례，대조조의조림상분급호리내용표준급환자자리능력평고량표진행호리，관찰조재차기출상근거환자궤체내외인소、인제인소등방면존재적압력원대궤체탄성방선、정상방선、저항방선적영향，응용뉴만계통모식진행일、이、삼급예방조시간예，량조균우입원시급출원후수방1년，채용한밀이돈억욱량표（ HRSD）、간명건강상황문권（ SF-36）중문판진행측평，비교량조환자억욱증상、생존질량、주원시간、수방1년재주원솔급병사솔。결과관찰조간예후HRSD평분、SF-36평분、주원시간분별위（33．4±4．1）분，（74．6±4．5）분，（10．2±3．5）d，우우대조조적（46．3±5．2）분，（56．1±5．1）분，（14．3±4．5）d，량조비교차이유통계학의의（t분별위11．40，9．30，1．41；P＜0．05）；관찰조환자수방1년재주원솔、병사솔분별위24％，10％，명현저우대조조적53％，24％，량조비교차이유통계학의의（χ2분별위2．1，3．4；P＜0．01）。결론뉴만계통모식용우간경화환자적호리유교호적효과，해모식가재림상진일보추엄화응용。
Objective To study the nursing effect of Neuman systems model in patients with decompensated liver cirrhosis .Methods One hundred and fifty patients with decompensated liver cirrhosis were randomly divided into the observation group and the control group according to random number table , each with 75 cases.The control group received the nursing according to the standards of clinical grading nursing content and the patient self-care ability assessment scale , and the observation group received one , two and three grade prevention intervention through the application of Neuman systems model according to the effect of pressure source existing in inside and outside of body as well as interpersonal relationship on body ’ s elastic line, formal line and resistance line on the basis of control group .The depressive symptom , the quality of living , the hospitalizing time , the rate of re-hospitalizing and the mortality rate were evaluated by Hamilton Depression Rating Scale for Depression ( HRSD ) and the Short Form-36 Health Survey ( SF-36 ) Chinese version in two groups in the admission and 1 year follow-up after discharge .Results The scores of HRSD and the quality of living, the hospitalizing time were respectively (33.4 ±4.1), (74.6 ±4.5), (10.2 ±3.5) d in the observation group, and were better than (46.3 ±5.2), (56.1 ±5.1), (14.3 ±4.5) d in the control group, and the differences were statistically significant (t=11.40, 9.30, 1.41, respectively;P<0.05).The rate of re-hospitalizing and the mortality rate were 24%, 10% in the observation group , and were significantly lower than 53%, 24% in the control group, and the differences were statistically significant (χ2 =2.1, 3.4, respectively;P<0.01).Conclusions The application of Neuman systems model in the nursing of patients with decompensated liver cirrhosis has a relatively good effect , and the model should be further promotion and application in clinical .
