The effects of extended nursing combined with health education on cirrhosis patients' medication compliance, self-efficacy, and quality of life

To explore the effects of extended nursing (EN) combined with health education (HE) on the medication compliance (MC), mental health, and quality of life (QOL) of patients with cirrhosis, in this study, 112 patients diagnosed with cirrhosis who were admitted to our hospital from January 2017 to December 2018 were included. They were randomly divided into two groups of 56. One group received routine nursing (RN) and regular HE and was classified as the routine group (RG). The other group received EN and regular HE and was classified as the extended group (EG). Seven months later, a self-made MC questionnaire was used to evaluate the MC of the two groups of patients. The self-rating anxiety scale (SAS) and the self-rating depression scale (SDS) were used to evaluate the degrees of depression and anxiety of the patients in the two groups, so as to evaluate the influence of the different nursing methods on the patients' moods. Sf-36 (a QOL questionnaire) was used to assess the differences in the QOL. The results showed that the MC of the EG was much higher than the MC of the RG (P<0.05). The SAS and SDS scores showed that the anxiety and depression levels in the two groups were greatly improved compared with their levels 7 months earlier, and the anxiety and depression levels in the EG were much lower than they were in the RG (P<0.05). The sf-36 scores indicated that the QOL of the patients in the two groups was improved compared with the levels 7 months earlier, and the QOL of the EG was much higher than it was in the RG (P<0.05). The data indicate that EN combined with HE can greatly improve the MC, self-efficacy, and QOL of cirrhosis patients. This finding provides evidence-based guidance for clinical cirrhosis nursing and ideological guidance for other disease-related nursing.