Decompensated Cirrhosis
Conditions
Interventions
Control Group:Conventional Nursing
Intervention Group:Self-Management Intervention Program for Abdominal Distension Symptoms in Patients with Decompensated Cirrhosis + Conventional Nursing
Sponsors
The First Affiliated Hospital of Army Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Patients diagnosed with ??decompensated liver cirrhosis?? per Chinese Clinical Consensus on Diagnosis and Treatment of Liver Cirrhosis (2023), with ??abdominal distension symptom score =2?? (based on standardized assessment scale); 2.Child-Pugh classification?? of ??Grade B or C??, indicating moderate-to-severe hepatic dysfunction; 3. Aged ??18–75 years??, ensuring physiological homogeneity and intervention feasibility; 4.??Conscious, informed of diagnosis??, with independent communication ability, and voluntarily signed ??informed consent??; 5. Possess a ??network-connected smartphone?? with WeChat installed, capable of completing basic operations (e.g., health information access, online communication, assignment submission, video learning) independently or with caregiver assistance; 6. Receiving ??stable, standardized baseline therapy?? for liver cirrhosis during the study period.
Exclusion criteria
Exclusion criteria: 1. Critically ill patients requiring ??emergency resuscitation??; 2.Severe ??cognitive impairment?? or ??psychiatric disorders?? affecting compliance; 3.Unwilling or unable to cooperate with study protocols; 4.Diagnosed with ??refractory (intractable) ascites?? per ascites typing criteria; 5. Concurrent severe systemic diseases (e.g., ??advanced heart failure, terminal cancer, end-stage renal disease??); 6.Participation in other ??interventional clinical trials?? within the past ??4 weeks??.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total effective rate of abdominal distention improvement; | — |
Secondary
| Measure | Time frame |
|---|---|
| Level of self-efficacy;Level of disease perception;Adherence rate to self-management intervention program;Total score of self - management behaviors;Level of perceived social support;Incidence and severity of symptoms;Child-Pugh score;Level of patient activation; | — |
Countries
China
Contacts
Public ContactJianmei Liao
The First Affiliated Hospital of Army Medical University
Outcome results
None listed