前馈控制护理联合临床路径对乙型病毒性肝炎患者的应用效果

Application effect of feed forward control nursing combined with clinical pathway in patients with viral hepatitis B

  • 摘要:
    目的 分析前馈控制护理联合临床路径对乙型病毒性肝炎患者的应用效果。
    方法 选取2020年9月—2021年12月收治的乙型病毒性肝炎患者110例为研究对象,随机分为观察组和对照组,每组50例。观察组给予前馈控制护理联合临床路径治疗,对照组给予常规治疗和护理。采用慢性乙型肝炎患者治疗依从性量表、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、自我护理能力量表(ESCA)、慢性肝病问卷(CLDQ)对2组患者干预前后的治疗依从性、精神状态、自我护理能力和生存质量进行评估。
    结果 干预后,观察组治疗依从性、自我护理能力及生存质量评分高于对照组,焦虑、抑郁评分低于对照组,差异有统计学意义(P < 0.05)。
    结论 前馈控制护理联合临床路径可提高乙型病毒性肝炎患者的依从性,改善其焦虑、抑郁状态,促进其自我护理能力与生存质量的提升。

     

    Abstract:
    Objective To analyze the application effect of feed forward control nursing combined with clinical pathway in patients with hepatitis B.
    Methods A total of 110 patients with viral hepatitis B admitted from September 2020 to December 2021 were selected as research objects and randomly divided into observation group and control group, with 50 cases in each group. The observation group was given feedforward control nursing combined with clinical pathway therapy, while the control group was given routine treatment and nursing. The treatment compliance, mental state, self-care agency and survival treatment of the patients in two groups before and after the intervention were assessed with the treatment compliance scale of chronic hepatitis B patients, Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), Self-care Ability Scale (ESCA) and Chronic Liver Disease Questionnaire (CLDQ).
    Results After the intervention, the scores of treatment compliance, self-care ability and quality of life in the observation group were significantly higher, and the scores of anxiety and depression were significantly lower than those in the control group (P < 0.05).
    Conclusion Feed forward control nursing combined with clinical pathway can improve the compliance of patients with viral hepatitis B, improve their anxiety and depression, and promote their self-care ability and quality of life.

     

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