| Objective1.Develop a coordinated care model intervention program for patients with hepatitis B cirrhosis in rural areas.2.To explore the impact of collaborative nursing intervention programs on the compliance behavior of patients with hepatitis B cirrhosis from rural areas.Methods1.This topic selects rural hepatitis B cirrhosis patients who came to the first and second fields of the Infectious Diseases Department of the First Affiliated Hospital of Zhengzhou University between November 2017 and August 2018 as the research objects.The patients were selected by lottery on a random basis and were divided into a control group and an intervention group.A total of 106 patients participated in the study,of which the control group contained 53 cases and the intervention group contained 53 cases.After the patients in the control group were admitted to the hospital,the patients were evaluated,and the precautions such as diet,follow-up visits,medication and prevention of complications were explained,and routine care such as out-of-hospital telephone follow-up was carried out according to the patient’s discharge.On the basis of the control group,the intervention group adds collaborative nursing.The collaborative nursing plan is as follows:(1)Set up a collaborative care team to provide people with professional treatment and nursing plans;(2)Based on the theory of knowledge and practice,based on the latest diagnosis and treatment of liver cirrhosis Guidelines,combined with the patient’s condition,understanding ability,actual living conditions,develop a personalized and easy-to-understand "Health Education Handbook",hand out the handbook when the patient is admitted to the hospital;explain to the patient to promote(3)healthy lifestyle habits according to the handbook content,and Patients’ family members urge patients to change their unhealthy eating habits;(4)Cooperate with patients and their families to participate in formulating practical goals and remove obstacles encountered in the process of self-care;(5)Full use of medical insurance resources and other social resources to provide patients with treatment and follow-up visits help.2.When the patient was admitted to the hospital,1 month,3 months,and 6 months after discharge,the "Liver Cirrhosis Self-Management Behavior Scale" and "Medical Compliance Scale" were used to measure the patient’s condition.At the same time,the relevant biochemical and biochemical characteristics of the two groups were recorded.3.The data is deal with by Spss25.0 software,the graph is drawn by Graph Pad Prism5.3 software,and the data is processed by statistical methods such as descriptive statistical analysis,repeated measures analysis of variance,non-parametric test,and two independent sample t test.Results1.A total of 103 patients with the enrollment and exclusion criteria,participated in and completed the study,namely 52 in the control group and 51 in the intervention group.The general clinical data,medical compliance scores,and pre-intervention self-management scores were compared between the two groups when they check in.There were no significant differences,and the differences were not significant(P> 0.05).2.Analyzing the scores of each dimension of the self-management behavior of the two groups of patients,it was found that the scores of the intervention group were greater than those of the control group.The scores each dimension of the self-management behavior of at 1 month,3 months,and 6 months after discharge,the difference was statistically significant(P﹤0.05).3.The intervention group medical compliance scores were higher than those in the control group.The differences are significant in the medication compliance scores(Table 3-7),self-test compliance scores(Table 3-8),follow-up compliance scores(Table 3-9),and behavior changes compliance scores(Table 3-10)when the two groups were compared at 1 month,3 months,and 6 months,and the differences were statistically significant(P<0.05).4.The results of the biochemical indexes of the two groups of patients showed that 6 months after discharge,the albumin,serum sodium,and fasting glucose of the intervention group were compared with the corresponding biochemical indexes of the control group.The intervention group albumin level was significantly higher than the control group,The difference is statistically significant(P <0.05).The intervention group serum sodium and fasting glucose levels were lower than the control group,the difference was statistically significant(P <0.05).ConclusionThe collaborative care model is an effective intervention model that can help rural patients with liver cirrhosis improve patient compliance behavior,improve self-management ability,and improve the quality of life of patients. |
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