【摘要】 目的：探究基于Snyder希望理论模型的协同管理对慢性肝病患者情绪及希望水平的影响。方法：选取2018年12月—2019年12月汕头大学医学院第二附属医院感染性疾病科收治的101例慢性肝病患者作为研究对象，根据管理方案不同分为参照组49例与研究组52例。参照组实施常规科室管理，研究组实施基于Snyder理论模型的协同管理。比较两组患者治疗依从性、管理前后的情绪状态[汉密尔顿抑郁量表（HAMD）评分、汉密尔顿焦虑量表（HAMA）评分]、希望水平[Herth希望量表（HHI）评分]、家庭关怀度（Apgar家庭功能问卷评分）、自我管理能力[自我管理行为评估问卷（HPSMBRS）评分]、生活质量（QOL）及随访预后情况。结果：研究组治疗总依从性高于参照组，差异有统计学意义（χ2=11.479,P<0.05）。管理后，研究组HAMA评分、HAMD评分均低于参照组，差异有统计学意义（t=10.584、10.385,P<0.05）。管理后，研究组HHI评分、Apgar评分均高于参照组，差异有统计学意义（t=11.793、8.662,P<0.05）。管理后，研究组HPSMBRS评分、QOL评分均高于参照组，差异有统计学意义（t=16.521、11.962,P<0.05）。研究组随访预后的康复有效率高于参照组，差异有统计学意义（χ2=10.748,P<0.05）。结论：基于Snyder希望理论模型的协同管理方案应用于慢性肝病患者中，可显著提高患者的治疗依从性及自身希望水平，缓解其不良情绪，提高其家庭关怀度、自我管理能力及生活质量，有利于改善其预后康复效果。更多还原

【Abstract】 Objective: To explore the effects of co-management based on Snyder’s theoretical model of hope on mood and hope levels in patients with chronic liver disease. Methods: 101 cases of chronic liver disease patients admitted to the hospital from December 2018 to December 2019 were selected as the study subjects, which were divided into 49 cases in the reference group and 52 cases in the study group according to the different management programs. The reference group implemented routine section management and the study group implemented collaborative management based on Snyder’s theoretical model of hope.Treatment adherence, mood state(Hamilton Depression Scale [HAMD] score, Hamilton Anxiety Scale [HAMA] score), hope level(Herth Hope Inventory [HHI] score), family caring(Apgar Family Functioning Questionnaire score), self-management ability(Questionnaire for the Assessment of Self-Management Behavior [HPSMBRS] score), quality of life(QOL), and prognosis of follow up were compared between the two groups. Results: The total adherence to treatment in the study group was higher than that in the reference group, and the difference was statistically significant(χ2=11.479, P<0.05). After management, HAMA scores and HAMD scores of the study group were lower than those of the reference group, and the difference was statistically significant(t=10.584,10.385, P<0.05). After management, HHI scores and Apgar scores of the study group were higher than those of the reference group, and the difference was statistically significant(t=11.793, 8.662, P<0.05). After management, the HPSMBRS score and QOL score of the study group were higher than those of the reference group, and the differences were statistically significant(t=16.521,11.962, P<0.05). The rehabilitation effective rate of the follow-up prognosis of the study group was higher than that of the reference group, and the difference was statistically significant(χ2=10.748, P<0.05). Conclusion: The synergistic management program based on Snyder’s theoretical model of hope applied to patients with chronic liver disease can significantly improve their treatment adherence and their own level of hope, alleviate their adverse emotions, improve their family care, self-management ability and quality of life, and contribute to the improvement of their prognostic recovery outcomes.更多还原