Objective To study the nursing effect of Neuman systems model in patients with decompensated liver cirrhosis. Methods One hundred and fifty patients with decompensated liver cirrhosis were randomly divided into the observation group and the control group according to random number table, each with 75 cases. The control group received the nursing according to the standards of clinical grading nursing content and the patient self-care ability assessment scale, and the observation group received one, two and three grade prevention intervention through the application of Neuman systems model according to the effect of pressure source existing in inside and outside of body as well as interpersonal relationship on body' s elastic line, formal line and resistance line on the basis of control group. The depressive symptom, the quality of living, the hospitalizing time, the rate of re-hospitalizing and the mortality rate were evaluated by Hamilton Depression Rating Scale for Depression (HRSD) and the Short Form-36 Health Survey (SF-36) Chinese version in two groups in the admission and 1 year follow-up after discharge. Results The scores of HRSD and the quality of living, the hospitalizing time were respectively ( 33.4 ± 4. 1 ), (74. 6 ± 4.5 ), ( 10. 2 ±3.5 ) d in the observation group, and were better than (46.3 ± 5.2), (56.1 ± 5.1 ), ( 14.3 ± 4.5 ) d in the control group, and the differences were statistically significant (t = 11.40, 9.30, 1.41, respectively ; P 〈 0.05). The rate of re-hospitalizing and the mortality rate were 24% , 10% in the observation group, and were significantly lower than 53%, 24% in the control group, and the differences were statistically significant (X2 = 2. 1, 3.4, respectively ; P 〈 0.01 ). Conclusions The application of Neuman systems model in the nursing of patients with decompensated liver cirrhosis has a relatively good effect, and the model should be further promotion and application in clinical. Key words: Liver cirrhosis ; Nursing; Neuman systems model; Pressure source
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