目的 探究激励式护理联合健康教育对慢性重型肝炎患者自我护理能力及生活质量的影响.方法 选取我院自2015年1月至2016年12月收治的慢性重型肝炎患者221例,以2015年11月为节点,将之前收治的患者定为对照组,反之为观察组.对照组110例实施常规护理,观察组111例在对照组基础上行激励式护理联合健康教育.比较两组患者配合度、不良事件发生率和住院时间,运用自我护理能力测定量表(ESCA)、健康调查简表(SF-36)评价两组患者的自我护理能力及生活质量.结果 观察组患者的配合度为82.88%,明显高于对照组的68.18%;前者住院时间为(13.26 ± 2.20)d,比后者(16.41 ± 2.32)d 时间更短,差异有统计学意义(P <0.05).两组不良事件发生率比较,观察组(0.73%)优于对照组(2.68%),差异有统计学意义(P<0.05).护理前,两组ESCA、SF-36评分比较差异无统计学意义(P>0.05);护理后,观察组两项评分均优于对照组,差异有统计学意义(P<0.05).结论 在常规护理基础上,对慢性重型肝炎患者行激励式护理联合健康教育,可显著提高患者配合度,降低不良反应发生率,缩短住院时间;提升患者自我护理能力及生活质量,值得临床及护理技术推广、采用.%Objective To explore the effect of motivational nursing combined with health education on self-nursing ability and quality of life of patients with chronic severe hepatitis.Methods From January 2015 to December 2016,221 patients with chronic severe hepatitis were selected,and patients treated before November 2015 were divided into control group and those after November 2015 as observation group.In the control group,110 cases were given routine nursing,while 111 cases in the observation group were treated with combined motivational nursing and health education on the basis of the control group.The degree of cooper-ation,the incidence of adverse events and the length of hospitalization were compared between the two groups.The self-nursing abil-ity and quality of life of the two groups were evaluated by self-nursing ability scale(ESCA)and health survey summary table (SF-36).Results The cooperation degree of the patients in the observation group was 82.88%,which was significantly higher than that in the control group(68.18%);The hospitalization time of the former was(13.26 ± 2.20d),which was shorter than that of the latter(16.41 ± 2.32)d,statistically significant(P <0.05). The incidence of adverse events in the observation group (0.73%)was better than that in the control group(2.68%),statistically significant(P<0.05).Before nursing,there was no sig-nificant difference in ESCA、SF-36 score between the two groups(P>0.05);After nursing,the two scores of the observation group were all better than those of the control group,and the difference was statistically significant(P<0.05).Conclusion On the basis of routine nursing care,the combination of motivational nursing and health education for patients with chronic severe hepatitis can significantly improve the cooperation degree of patients,reduce the incidence of adverse reactions and shorten the hospital stay.
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