目的 探讨过渡护理方案对肝移植患者家属迁移应激水平及照护能力的影响。方法 采用非同期对照试验方法,选择2021年4月—2022年5月在大连市某三级甲等医院行肝移植手术患者的57名家属为研究对象,根据入院先后顺序分为试验组30名和对照组27名,试验组实施基于ABC-X模型的过渡护理方案,对照组实施常规护理方案。干预前后采用家属迁移应激量表（Family Relocation Stress Scale,FRSS）、家属照护能力量表（Family Caregiver Task Inventory,FCTI）评价干预效果。结果 干预后,试验组FRSS评分为（30.17±7.29）分,低于对照组（32.40±4.88）分,差异具有统计学意义（t=9.816,P<0.001）;试验组FCTI得分为（22.66±2.91）分,低于对照组（30.00±2.91）分,差异具有统计学意义（t=9.459,P<0.001）。结论 基于ABC-X模型的过渡护理方案有助于降低肝移植患者家属迁移应激水平,提高其照护能力。
Objective To investigate the effect of transitional nursing program on migration stress and care ability of liver transplant patients' family members. Methods Using non-concurrent control experimental method,57 liver transplant patients from April 2021 to May 2022 were selected as the study subjects in a tertiary Class A hospital of Dalian. They were randomly divided into observation group（n=27） and control group（n=30） according to the order of admission. The control group adopted routine nursing mode,and the observation group adopted transitional care program based on the ABC-X model. Family Relocation Stress Scale（FRSS） and Family Caregiver Task Inventory（FCTI） were used to evaluate the intervention effect before and after intervention. Results After intervention,the FRSS score of the observation group（30.17±7.29） was lower than that of the control group（32.40±4.88）,and the difference was statistically significant（t=9.816,P<0.001）. The FCTI score of the observation group（22.66±2.91）was lower than that of the control group（30.00±2.91）,and the difference was statistically significant（t=9.459,P<0.001）. Conclusion The transitional nursing program based on ABC-X model can reduce the migration stress level of family members of liver transplant patients and improve their care ability.
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