The Impact of Health Education on the Family Life Quality of Patients with Cirrhosis_West China Medical Journal

Authors：

 ChenLinghua , LinYing , LiFeng , LiLi , LinFengying

Outpatient Department, the Second Clinical Medical College of North Sichuan Medical College/Central Hospital of Nanchong, Nanchong, Sichuan 637000, P. R. China;

Corresponding?author：

Keywords：

Cirrhosis; Health education; Quality of life; Psychological conditions; Compliance; Re-admission rates

DOI：

10.7507/1002-0179.20160092

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Objective To discuss the impact of health education for the patients with decompensated cirrhosis and their family members on patients' family life quality, psychological conditions, medication compliance, and re-admission rates. Methods We selected 100 decompensated cirrhosis patients between December 2012 and December 2013, and randomized them into two groups with 50 patients in each. One week prior to discharge, we conducted a comprehensive nursing assessment for the patients and developed hospital care regimen. Patients were followed up after discharge for six months. The control group underwent routine health education and extended care, while the experimental group had an addition of health education and extended care intervention on their family members. Results Anxiety and depression were alleviated in both the two groups. The psychological conditions of patients in the experimental group were significantly better than the control group (P<0.01). The total scores of quality of life was significantly different compared with the scores before intervention (P<0.01). Medication compliance improved more significantly in the experimental group after intervention (P<0.05). Re-admission rates decreased more significantly in the experimental group than the control group (P<0.01). Conclusion Health education and extended care intervention for patients and their family members can improve patients' psychological conditions, promote medication compliance, reduce readmission rates, and improve patients' quality of family life.

Citation： ChenLinghua, LinYing, LiFeng, LiLi, LinFengying. The Impact of Health Education on the Family Life Quality of Patients with Cirrhosis. West China Medical Journal, 2016, 31(2): 343-346. doi: 10.7507/1002-0179.20160092 Copy

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1. 陸再英, 鐘南山. 內科學[M]. 7版. 北京:人民衛生出版社, 2008.
2. Dalen JE. Pulmonary embolism:what have we learned since Virchow? Natural history, pathophysiology, and diagnosis[J]. Chest, 2002, 122(4):1440-1456.
3. Lu W, Cui Y, Zheng Y, et al. Impact of newly diagnosed breast cancer on quality of life among Chinese women[J]. Breast Cancer Res Treat, 2007, 102(2):201-210.
4. 陳利娜. 心理護理干預對肝硬化患者治療依從性和生活質量的影響[J]. 中國現代醫生, 2011, 49(13):68-69.
5. 劉浩, 湯莉偉. 肝硬化患者的護理體會[J]. 中國醫藥指南, 2013, 10(5):294-296.
6. 陳園, 張曉燕. 健康教育模式在慢性疾病中的應用與展望[J]. 中國老年保健醫學, 2012, 10(3):104-105.
7. 王俊儒. 健康教育與健康促進工作的挑戰與對策[J]. 中國初級衛生保健, 2006, 20(1):65-66.
8. 李德華, 孟慶躍, 涂詩意, 等. 基于經濟學的農村慢性病健康教育思考與建議[J]. 中國衛生經濟, 2008, 27(1):31-32.
9. 王瑞敏, 劉玉肖, 任曉媛, 等. 家庭隨訪對活動性肝硬化患者生活質量的影響[J]. 河北醫藥, 2009, 31(7):883-884.
10. 景麗. 健康教育對肝硬化重度腹水患者焦慮抑郁和生活質量的影響[J]. 護理學雜志, 2005, 20(1):52-54.
11. Jin S, Yan L, Li B, et al. Quality of life and psychologic distress of recipients after adult living-donor liver transplantation (LDLT)-A study from mainland China[J]. Transplant Proc, 2010, 42(7):2611-2616.
12. 吳榮芹, 王澤興, 劉桂英. 家屬健康教育對老年肺結核患者生活質量的影響[J]. 齊魯護理雜志, 2009, 15(3):18-19.
13. 劉明, 高睿, 王金俠. 腎移植患者社會支持與生活質量的相關性研究[J]. 護理學雜志, 2000, 15(5):259-261.
14. 王琴, 鮑玉華, 胡金梅. 健康教育在耳鼻喉科門診患者中的應用[J]. 齊魯護理雜志, 2012, 18(29):130-131.
15. 王萍, 王娟, 靳立旭. 自我管理指導對肝硬化患者預后的作用[J]. 當代護士:學術版, 2009(10):17-18.

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