KTH整合式护理模式在肝硬化合并急性上消化道出血患者干预中的应用
Application of KTH Integrated Nursing Mode in the Intervention of Patients with Cirrhosis Complicated with Acute Upper Gastrointestinal Hemorrhage

DOI: 10.12677/NS.2020.91002, PP. 6-12

Keywords: 肝硬化，急性上消化道出血，KTH整合式护理模式，自我效能，生活质量
Cirrhosis, Acute Upper Gastrointestinal Bleeding, KTH Integrated Nursing Model, Self-Efficacy, Quality of Life

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Abstract:

目的：探讨KTH整合式护理模式对肝硬化合并急性上消化道出血患者的干预效果。方法：选取2015年1月至2018年6月我院收治的肝硬化合并急性上消化道出血患者112例，随机分为观察组和对照组各56例。对照组采用常规健康教育，观察组采用KTH整合式护理模式健康教育。比较干预前后两组患者的焦虑和抑郁情绪、自我效能、生活质量以及再出血率、死亡率、并发症情况。结果：干预后观察组焦虑和抑郁评分显著低于对照组(P < 0.05)，自我效能评分显著高于对照组(P < 0.05)，生活质量中总体健康、生命活力、情感职能、心理健康维度上的评分显著高于对照组(P < 0.05)。观察组患者再出血率显著低于对照组(P < 0.05)，死亡率和并发症发生率两组未见统计学差异(P > 0.05)。结论：KTH整合式护理模式可以减轻肝硬化合并急性上消化道出血患者的焦虑抑郁情绪，增强自我效能感，改善生活质量，减少再出血率。
Objective: To investigate the intervention effect of KTH integrated nursing mode on patients with cirrhosis complicated with acute upper gastrointestinal hemorrhage. Methods: 112 patients with cirrhosis and acute upper gastrointestinal hemorrhage in the hospital from January 2015 to June 2018 were randomly divided into observation group and control group, 56 cases in each group. The control group was given routine health education; the observation group was given KTH integrated nursing mode health education. The anxiety and depression mood, self-efficacy, quality of life, rebleeding rate, mortality and complications were compared between the two groups before and after intervention. Results: The anxiety and depression scores of the observation group were significantly lower than those of the control group after intervention (P < 0.05); the self-efficacy scores were significantly higher than the control group (P < 0.05). The scores of overall health, vi-tality, emotional function, mental health in quality of life were significantly higher than those in the control group (P < 0.05). The rebleeding rate of the observation group was significantly lower than that of the control group (P < 0.05). There was no significant difference in mortality and complication rate between the two groups (P > 0.05). Conclusion: KTH integrated nursing mode can alleviate anxiety and depression in patients with cirrhosis and acute upper gastrointestinal hemorrhage, enhance self-efficacy, improve quality of life and reduce rebleeding rate.

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