Effects of Cox interaction model of client health behavior-based nursing intervention on health outcomes among patients receiving liver transplantation

Abstract

Objective To explore the effects of Cox interaction model of client health behavior (Cox-IMCHB) -based nursing intervention on health outcomes and quality of life (QOL) among patients receiving liver transplantation. Methods From October 2014 to August 2016, this study selected 65 patients met the inclusion and exclusion criteria in the First Bethune Hospital of Jilin University as subjects. Patients were divided into control group (n=32) and observation group (n=33) according to surgery order. Control group carried out the routine nursing for patients receiving liver transplantation, while observation group implemented the comprehensive nursing based on the Cox-IMCHB theory. Treatment compliance, follow-up rate and nursing service satisfaction of patients between two groups were observed one month and six months after surgery. Results One month after surgery, there was no statistical difference in the compliance of patients between two groups (P>0.05) . Six months after surgery, the total score of treatment compliance, scores of self-monitoring compliance, living habits compliance and follow-up compliance in observation group were 42.00 (40.00, 43.00) , 2.00 (2.00, 3.00) , 17.00 (16.00, 18.00) and 7.00 (7.00, 8.00) higher than those in control group with statistical differences (P 0.05) . Six months after surgery, the patient satisfaction and rate of follow-up in observation group were higher than those in control group with statistical differences (P<0.05) . Conclusions Cox-IMCHB-based nursing intervention for patients receiving liver transplantation can improve patients' long-term treatment compliance and patient satisfaction with utilization of medical service resource as well as nursing care so as to promote favorable outcomes. Key words: Liver transplantation; Quality of life; Health outcome; Cox interaction model of client health behavior; Compliance; Satisfaction; Follow-up