Effect of Extended Nursing Care based on Behavioral Change Theory Model on Patients with Ascites due to Cirrhosis after Hepatitis B
Liu Xiaoyu
Guo Xianping
Shang Xuemin
Abstract：Objective:To explore the effect of extended nursing care based on behavioral change theory model on patients with ascites due to cirrhosis after hepatitis B.Methods:A total of 100 patients with ascites due to cirrhosis who were treated from September 1,2021 to September 30,2022 were selected as the research objects.The patients were divided into the control group and the observation group by random double-blind method,with 50 cases in each group.The extended nursing care was given to the control group,and the extended nurs-ing care based on behavioral change theory model was implemented in the observation group.The liver function indexes(including AST,TBLL and ALT),quality of life(WHOQOL-100),health status(EQ-5D),self-efficacy(GSES)and self-management ability(AHSMSRS)were compared between the two groups before and after nursing care.Results:After nursing care,the expression levels of AST,TBLL and ALT in the two groups were lower than those before nursing care(P<0.05),and those in the observation group were lower than the control group(P<0.05,P<0.01).The scores of physiological,environmental,psychological,social relationship and independence field and spiritu-al support in WHOQOL-100 in the observation group were higher than those in the control group(P<0.01).After nursing care,the mobili-ty,self-care ability,daily living ability,discomfort or pain,anxiety or depression in EQ-5D and EQ-VAS scores of the two groups were better than those before nursing care(P<0.05),and those in the observation group was better than the control group(P<0.05,P<0.01).After nursing care,the GSES and AHSMSRS scores of the two groups were higher than those before nursing care(P<0.05),and the scores of the observation group were higher than those of the control group(P<0.01).Conclusion:Extended nursing care based on the behavioral change theory model can effectively improve the clinical indicators of patients with ascites due to cirrhosis after hepatitis B,improve the quality of life and health status of the patients,enhance their self-management efficacy,self-management behavior,and accelerate their recovery.
Keywords：Behavioral change theory modelExtended nursing careHepatitis BAscites due to cirrhosis
Publication Date：2024-10-05
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 31-34 )