Effect of discharge preparation service strategy in hospital-community chronic disease management of patients with liver cirrhosis
10.3760/cma.j.cn115682-20200705-04235
- VernacularTitle:出院准备服务策略在肝硬化患者医院-社区慢性疾病管理中的效果评价
- Author:
Guijuan ZHANG
1
;
Xinlei CHEN
;
Jinhua WANG
Author Information
1. 河南省濮阳市人民医院感染性疾病科 457000
- Keywords:
Chronic disease;
Discharge preparation service;
Discharge planning;
Liver cirrhosis;
Chronic disease management
- From:
Chinese Journal of Modern Nursing
2021;27(9):1201-1205
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of discharge preparation service strategy in hospital-community chronic disease management of patients with liver cirrhosis.Methods:From January 2018 to May 2019, the convenience sampling was used to select 162 patients with compensatory cirrhosis hospitalized in the Department of Infectious Diseases, Puyang People's Hospital of Henan Province. Patients were randomly divided into observation group and control group, with 81 cases in each group. Control group used routine management, and observation group carried out the discharge preparation service strategy. We compared the differences in re-admission rate and laboratory indicators between two groups after discharge.Results:Within 6 months after discharge, the re-admission rates of patients in observation group and control group were 4.94% (4/81) and 20.99% (17/81) respectively, and the difference was statistically significant (χ 2=9.246, P<0.05) . Six months after discharge, prealbumin of observation group was (226.48±27.52) mg/L higher than that of control group, and alanine aminotransferase of observation group was (90.26±6.72) U/L lower than that of control group, and differences were statistically significant ( t=5.482, -6.834; P<0.05) . Conclusions:Discharge preparation service strategy can reduce the re-admission rate of patients with liver cirrhosis and delay the progression of the disease, which is worthy of clinical application.
