| Objective:For cirrhosis combined esophageal gastric varices rupture hemorrhage(esophagogastric variceal bleeding,EVB)in hospitalized patients in the condition of plateau implementation framework of the theory of goal attainment,through the form of interactive communication,making patients trust,on the basis of further evaluate the personal,interpersonal and social system,understanding the disease in patients with hepatocirrhosis with EVB the master degree of knowledge,and the content of t he health education for patients to carry out a more personalized.Through the qualita tive and quantitative index detection and analysis,the effectiveness of the implement ation of the theoretical intervention program is verified,and the influence of the theo ry of goal attainment on the self-management ability,medication compliance and nur sing satisfaction of patients with cirrhosis complicated with EVB was discussed,so as to provide theoretical basis for improving the clinical nursing level of such patien ts.Methods:Select on January 1,2019~October 31,lanzhou city,Hospital of digestive diseases,70 patients with liver cirrhosis with EVB,On the premise of fully compl ying with the ethical principles,according to the patients of admission date and com bined with the random number table method,patients were divided into two groups,every group has 35 patients.The contrast group put into conventional health educatio n,and the control group put into the theory of goal attainment health education.All patients were collected face-to-face survey relevant information on the day before ye sterday of discharge and 3 months after discharge,once a month.The general inform ation questionnaire,self-management behavior scale of cirrhosis,medication complian ce questionnaire and inpatient satisfaction questionnaire of the two groups were statis tically analyzed,and the platelet count and PT of each patient were quantitatively an alyzed according to the time node designed in the study.Result:In this study,a total of 70 cirrhotic patients with EVB were included,35 in th e contrast group and 35 in the control group.After discharge,follow-up was conducted for 3 months.Finally,69 patients were enrolled and followed up.The following is th e results of relevant data before and after the intervention of 69 patients:1.Results of pre-intervention studiesThe scores and total scores of four dimensions of general information questionn aire,self-management behavior scale of patients with cirrhosis,medication complianc e scale,platelet and Prothrombin time were compared: the differences were not statis tically significant(P>0.05),and the groups were comparable.Among them,standardized score of self-management: before intervention,subject s in both groups had the lowest score in the dimension of diet management.2.Follow-up study results after discharge.2.1After 3 months of follow-up,the total score of self-management behavior scal e of patients with cirrhosis was statistically significant(P<0.05).Among the scores of each dimension,except the score of the diet management dimension,there was no statistical significance(P>0.05),and the other of 3 dimensions score were all statisti cally significant.At 3 months after discharge,standardized score of self-management:i n both groups had the lowest scores in the dimension of disease monitoring.2.2In the score of medication compliance,the difference was statistically signific ant(P<0.05).In laboratory examination,no statistically significant difference between p latelet and PT scores(P>0.05).2.3At the time of leave hospital,the scores of inpatient satisfaction questionnair es was no statistically significant between the two groups(P>0.05).Conclusion:Under the guidance of the theory of goal attainment,health educatio n for patients with cirrhosis complicated with EVB could not improve the patients' s atisfaction with hospitalization,and had no effect on platelet count and PT.However,health education guided by the goal attainment model can improve the self-manage ment ability and medication compliance of patients with cirrhosis complicated with EVB. |
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