CAJ | 학술논문

目的：探讨肝硬化腹水患者家庭护理干预策略及应用效果。方法将100例患者及配对家属随机分为干预组和对照组各50例。对照组患者及家属进行常规出院指导，干预组患者及家属在对照组的基础上出院后通过定期电话随访及家访进行系统的家庭护理干预，6个月后通过电话随访、家访及门诊复诊的方式比较两组干预效果。结果干预组患者的正确用药率为92．0％，对肝硬化腹水疾病知识完全知晓率为96．0％，均高于对照组（62．0％，64．0％）；干预组患者消化道出血、肝性脑病并发症的发生率分别为10．0％，12．0％，均低于对照组（28．0％，30．0％）；两组比较差异有统计学意义（χ2值分别为12．705，16．000，5．263，4．883；P＜0．05）。两组患者预后情况及再入院率、再入院次数比较差异均有统计学意义（P＜0．05）。结论适当的家庭护理干预，可提高患者及家属对疾病知识知晓率，发挥家属作用，提高社会支持力度，进而提高患者的遵医行为，减少并发症的发生。
목적：탐토간경화복수환자가정호리간예책략급응용효과。방법장100례환자급배대가속수궤분위간예조화대조조각50례。대조조환자급가속진행상규출원지도，간예조환자급가속재대조조적기출상출원후통과정기전화수방급가방진행계통적가정호리간예，6개월후통과전화수방、가방급문진복진적방식비교량조간예효과。결과간예조환자적정학용약솔위92．0％，대간경화복수질병지식완전지효솔위96．0％，균고우대조조（62．0％，64．0％）；간예조환자소화도출혈、간성뇌병병발증적발생솔분별위10．0％，12．0％，균저우대조조（28．0％，30．0％）；량조비교차이유통계학의의（χ2치분별위12．705，16．000，5．263，4．883；P＜0．05）。량조환자예후정황급재입원솔、재입원차수비교차이균유통계학의의（P＜0．05）。결론괄당적가정호리간예，가제고환자급가속대질병지식지효솔，발휘가속작용，제고사회지지력도，진이제고환자적준의행위，감소병발증적발생。
Objective To study the implementation effects of family nursing intervention strategies among patients with hepatocirrhosis ascites .Methods A total of 100 cases of patients and pairing families , according to the discharge order , were randomly divided into intervention group and control group with 50 cases in each group .The patients in control group and their family members were followed the routine discharge guidance, while the patients in intervention group and their family members were based on the family nursing intervention strategy , which were discharged through the process of regular telephone follow-up and home visits . After six months, the medical compliance behaviors , the awareness rate of knowledge after healing and complications between the control group and the intervention group were compared by telephone follow -up, home visits and outpatient reviews .Results Totals of 92%intervention group patients followed the correct medication and the rate of disease knowledge about hepatocirrhosis ascites was 96% among intervention group of patients and their family members , which were significantly higher than the control group . The incidence of gastrointestinal hemorrhage and hepatic encephalopathy among intervention group were 10% and 12%, respectively , which were significantly lower than the control group .There were significant differences between two groups (χ2 =12.705, 16.000, 5.263, 4.883, respectively;P<0.05).Conclusions The proper family nursing intervention strategy that helps to exert the effect of family members and enhance their social support can also improve the disease knowledge of patients and their relatives .Besides, it increases the medical compliance behaviors and decreases the incidence of complications .