基于行动研究法理论的健康管理在老年非酒精性脂肪性肝病中的应用效果

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Abstract Objective To explore the application effect of health management based on the theory of action research in elderly patients with non-alcoholic fatty liver disease (NAFLD). Methods A total of 110 elderly NAFLD patients who were treated in the Department of Hepatology, Traditional Chinese Medicine Hospital Affiliated to Xinjiang Medical University from January 2018 to January 2020 were collected. According to the random number table method, they were divided into control group and observation group, with 55 cases in each group. The control group was given a routine health management intervention, and the observation group was given a health management intervention based on the theory of action research method. The duration of the intervention was six months. The self-perceived burden scale (SPBS) was used to evaluate the self-perceived burden of patients. The liver function indexes, liver fibrosis indexes, disease cognition scores, health behavior changes and SPBS scores were compared between the two groups before and after intervention. Results After the intervention, the levels of alanine aminotransferase, aspartate aminotransferase, and total bilirubin in the two groups were lower than those before the intervention, while the observation group was lower than the control group, and the differences were statistically significant (P ＜ 0.05). After the intervention, the levels of adhesion protein, hyaluronic acid, type Ⅲ procollagen, and type Ⅳ collagen in the two groups were lower than those before the intervention, while the observation group was lower than the control group, and the differences were statistically significant (P ＜ 0.05). After the intervention, the scores of disease characteristic knowledge, dietary knowledge, exercise knowledge, and medication knowledge in the two groups of disease cognition were higher than those before the intervention, while the observation group was higher than the control group, and the differences were statistically significant (P ＜ 0.05). Conclusion Health management based on the theory of action research can improve the liver function of elderly NAFLD patients, reduce the degree of liver fibrosis, increase the level of disease awareness, promote the establishment of healthy behaviors, and reduce the burden of disease self-perception. It is clinically worthy of further promotion.

Key words： Action research method Elderly Non-alcoholic fatty liver disease Disease cognition Health management Self-perceived burden

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DU Huiling WANG Yan. Application effect of health management based on the theory of action research method in elderly non-alcoholic fatty liver disease[J]. 中国医药导报, 2021, 18(19): 163-167.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I19/163

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