Abstract:

Objective To explore the application of knowledge-attitude-practice and life hope plan nursing intervention for the family members of renal transplant patients，to observe the influence of the family members' knowledge，beliefs and hopes and to assess the improvement of the patient's quality of life. MethodsFrom February 2016 to November 2017，58 patients and 116 families were enrolled，who were divided intotwo groups ：29 patients and 58 cases of family members in each group. The family members of control groupunderwent routine nursing intervention. Intervention group applied of knowledge-attitude-practice and life hope plan nursing intervention. Assessed the level of family members' knowledge and belief before and afterintervention，assessed the family members' hope level and self-efficacy by herth hope index（HHI）and the generalself-efficacy scale（GSES），and assessed the quality of life of patients. Results The family knowledge，beliefs，behavioral scores，total knowledge and belief scores，HHI scores，GSES score，and total quality of life of patients of the intervention group were（71.80±5.92）points，（54.61±5.26）points，（51.56±4.15）points，（174.59±8.96）points，（41.76±0.73）points，（34.80±0.64）points，（132.80±8.29）points，all higher were than the control group（62.25±5.81）points，（49.50±4.72）points，（46.89±4.03）points，（163.40±9.08）points，（36.29±0.80）points，（30.15±0.67）points，（124.46±8.03）points，the two groups had statistical differencesignificantly（P＜0.05）Conclusion The application of knowledge-attitude-practice and Life hope plan nursing intervention for the family members of renal transplant patients，the family members of the patients are well-informed，the hope level is significantly improved，the patient's quality of life is improved significantly，and the quality of careis significantly improved.

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摘要：

探讨知信行生活希望计划对肾脏移植手术患者家属的影响，观察对患者家属知信行、希望水平的影响，探讨是否改善患者的生活质量。方法 选择 2016 年 2 月—2017 年 11 月在本院进行肾脏移植手术患者 58 例，护理家属 116 例，按照患者的意愿分为两组，各组病例 29 例，家属 58 例，对照组家属进行常规治疗干预，干预组患者家属应用知信行生活希望计划干预。评估两组患者干预前后患者家属知信行水平、应用 Herth 希望指数（herth hope index，HHI）和一般自我效能感量表（general self-efficacy scale，GSES）评估家属希望水平和自我效能状况，评估患者生活质量。结果 干预组患者家属知识、信念、行为评分和知信行总评分、HHI 评分、GSES 评分、患者生活质量总评分为（71.80±5.92）分、（54.61±5.26）分、（51.56±4.15）、（174.59±8.96）分、（41.76±0.73）分、（34.80±0.64）分、（132.80±8.29）分，对照组为（62.25±5.81）分、（49.50±4.72）分、（46.89±4.03）分、（163.40±9.08）分、（36.29±0.80）分、（30.15±0.67）分、（124.46±8.03）分，两组差异具有统计学意义（P ＜ 0.05）。结论 应用知信行生活希望计划对肾脏移植手术患者家属进行干预，患者家属知信行、希望水平显著提高，患者生活质量明显改善，治疗质量得到显著提高。

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