关键词: 健康行为改变整合理论；肝硬化；急性食管胃静脉曲张破裂出血；智随访；自我管理行为；再出血

Abstract: Objective: To evaluate the effects of the intelligent follow-up platform in patients with cirrhosis accompanied by acute esophagogastric variceal bleeding, aiming to provide a reference for improving the quality of patient follow-up. Methods: Using the convenience sampling method, patients with cirrhosis accompanied by esophagogastric variceal bleeding were recruited in the Department of Gastroenterology of a tertiary grade A general hospital in Tianjin. Fifty patients admitted from October 2021 to August 2022 were recruited as the control group, and received routine care. Fifity patients admitted from December 2022 to December 2023 were involved as the intervention group, and were managed by the Integrated Theory of Health Behavior Change (ITHBC) intelligent follow-up platform besides routine care. Self-care behaviors, nutritional status, and the incidence of rebleeding 180 days after discharge were compared between the two groups. Results: After the intervention, the self-care behavior score, grip, prealbumin, and transferrin of patients in the intervention group were higher than those in the control group (all P<0.05). The incidence of rebleeding 180 days after discharge in the intervention group (4.0%) was significantly lower than that of the control group (18.0%), with statistical significance (χ2=5.005, P=0.025). Conclusion: The application of the ITHBC intelligent follow-up platform can improve the self-management behavior of patients with liver cirrhosis accompanied by acute esophageal-gastric variceal bleeding, improve their nutritional status, and reduce the occurrence of rebleeding.

Key words: Integrated Theory of Health Behavior Change; cirrhosis; acute esophageal-gastric variceal bleeding; intellectual follow-up; self-management behavior; rebleeding