Effects of NNN-linked nursing model on health outcomes, quality of life, and sleep status of patients after liver transplantation
NNN-链接护理模式对肝移植术后患者健康结局和生活质量及睡眠状况的影响

摘要

目的 探讨护理诊断-护理结局分类-护理措施分类（NNN）-链接护理模式对肝移植术后患者健康结局和生活质量及睡眠状况的影响。方法 选择2019年06月至2020年09月本院收治的肝移植手术患者56例，采用随机数字表法分为两组，每组28例。对照组在患者术后重症监护室（ICU）监测期间采取常规护理，观察组采取NNN-链接护理模式，持续观察至患者转出ICU。比较两组并发症发生率、恢复情况、生活质量及睡眠状况。结果 观察组术后并发症发生率为7.14%，低于对照组的28.57%，疼痛缓解、肠鸣音恢复及肛门排气时间短于对照组，差异有统计学意义（P＜0.05）；观察组生活质量综合评定问卷（GQOLI-74）评分高于对照组，失眠严重程度明显低于对照组，差异有统计学意义（P＜0.05）。结论 NNN-链接护理模式能够减少肝移植术后并发症的发生，缩短恢复时间，改善健康结局，提升生活质量及睡眠状况。

Abstract

Objective: To explore the impact of nursing diagnosis, classification of nursing outcomes, classification of nursing measures (NNN), and link nursing mode on health outcomes, quality of life, and sleep status of patients after liver transplantation.
Methods From June 2019 to September 2020, 56 patients undergoing liver transplantation in our hospital were selected and randomly divided into two groups, with 28 patients in each group. The control group received routine nursing during the monitoring period in the intensive care unit (ICU) after surgery, while the observation group received NNN-linked nursing mode, and continued to observe until the patient was transferred out of the ICU. The incidence of complications, recovery, quality of life, and sleep status were compared between the two groups.
Results The incidence of postoperative complications in the observation group was 7.14%, lower than 28.57% in the control group. The pain relief, bowel sound recovery, and anal exhaust time in the observation group were shorter than those in the control group, with a statistically significant difference (P<0.05); The score of GQOLI-74 in the observation group was higher than that in the control group, and the severity of insomnia was significantly lower than that in the control group, with a statistically significant difference (P<0.05).
Conclusion   NNN-linked nursing model can reduce the occurrence of complications after liver transplantation, shorten recovery time, improve health outcomes, and improve quality of life and sleep status.