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  • 中文摘要:

    目的:探讨以Meleis转变理论为导向的出院准备干预在自身免疫性肝病(AILD)患者中的应用效果。方法:选取2021年1月~2022年12月在我院诊治的AILD患者92例,随机分为对照组和研究组,每组46例。对照组采用常规护理干预,研究组给予以Meleis转变理论为导向的出院准备干预,比较两组出院当天的出院准备度评估量表(RHDS)、出院指导质量量表(QDTS)各维度评分及总分、干预前后的健康促进策略量表(SUPPH)各维度评分及总分和患者护理满意度。结果:干预后,研究组RHDS各维度评分(疾病知识、自身状况、出院后应对能力、可获得的社会支持)及总分和QDTS的讲授技巧、需要的内容、实际获得的内容评分及总分均显著高于对照组(P < 0.05);两组SUPPH积极态度、减轻压力、决策及总分较干预前均升高(P < 0.05),且研究组显著高于对照组(P < 0.05);研究组患者护理总满意度为100.00%,显著高于对照组的84.78%(P < 0.05)。结论:以Meleis转变理论为导向的出院准备干预应用于AILD患者,可有效提高出院准备度、出院指导质量、自我管理能力和患者满意度。

  • 英文摘要:

    Objective:To explore the application effect of discharge preparation intervention guided by Meleis transition theory in patients with autoimmune liver disease(AILD). Methods:92 AILD patients who were diagnosed and treated in our hospital from January 2021 to December 2022 were selected. The method was random number table method,and they were divided into two groups,each with 46 cases. The control group received routine nursing intervention,while the study group received Meleis transition theory oriented discharge preparation intervention. The out of hospital readiness assessment scale(RHDS)and Chinese version of discharge guidance quality scale(QDTS)scores and total scores on the day of discharge were compared between the two groups,The scores and total scores of each dimension of the Chinese version of the Health Promotion Strategy Scale(SUPPH)before and after intervention,as well as patient nursing satisfaction. Result:The RHDS scores of each dimension(disease knowledge,personal status,post-discharge response ability,available social support)and total score were significantly higher compared with the control group(P < 0.05). Compared of the teaching skills,content required,content actually obtained,and QDTS total score were significantly higher than the control group(P < 0.05). After the intervention,the positive attitude score,stress reduction score,decision score and SUPPH total score were higher(P < 0.05),and the study group was significantly higher(P < 0.05). The total satisfaction of care in the study group was 100.00%,which was significantly higher than 84.78% in the control group(P < 0.05). Conclusion:The Meleis transition theory-oriented discharge readiness intervention for patients with AILD is effective in improving discharge readiness,quality of discharge guidance,self-management ability,and patient satisfaction.