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. 陆再英, 钟南山. 内科学[M]. 7版. 北京:人民卫生出版社, 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. 陈利娜. 心理护理干预对肝硬化患者治疗依从性和生活质量的影响[J]. 中国现代医生, 2011, 49(13):68-69.
5. 刘浩, 汤莉伟. 肝硬化患者的护理体会[J]. 中国医药指南, 2013, 10(5):294-296.
6. 陈园, 张晓燕. 健康教育模式在慢性疾病中的应用与展望[J]. 中国老年保健医学, 2012, 10(3):104-105.
7. 王俊儒. 健康教育与健康促进工作的挑战与对策[J]. 中国初级卫生保健, 2006, 20(1):65-66.
8. 李德华, 孟庆跃, 涂诗意, 等. 基于经济学的农村慢性病健康教育思考与建议[J]. 中国卫生经济, 2008, 27(1):31-32.
9. 王瑞敏, 刘玉肖, 任晓媛, 等. 家庭随访对活动性肝硬化患者生活质量的影响[J]. 河北医药, 2009, 31(7):883-884.
10. 景丽. 健康教育对肝硬化重度腹水患者焦虑抑郁和生活质量的影响[J]. 护理学杂志, 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. 吴荣芹, 王泽兴, 刘桂英. 家属健康教育对老年肺结核患者生活质量的影响[J]. 齐鲁护理杂志, 2009, 15(3):18-19.
13. 刘明, 高睿, 王金侠. 肾移植患者社会支持与生活质量的相关性研究[J]. 护理学杂志, 2000, 15(5):259-261.
14. 王琴, 鲍玉华, 胡金梅. 健康教育在耳鼻喉科门诊患者中的应用[J]. 齐鲁护理杂志, 2012, 18(29):130-131.
15. 王萍, 王娟, 靳立旭. 自我管理指导对肝硬化患者预后的作用[J]. 当代护士:学术版, 2009(10):17-18.

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