心理干预对肝硬化患者的影响  

Clinical significance of psychological nursing on patients with hepatic cirrhosis

作　　者：许伟[1] 杨昌霞[1] 宋艳燕[1] 

机构地区：[1]哈尔滨医科大学附属第二医院消化内科,黑龙江哈尔滨150086

出　　处：《现代临床护理》2009年第3期23-25,共3页Modern Clinical Nursing

摘　　要：目的探讨心理护理对肝硬化患者的影响。方法将120例肝硬化患者随机分为观察组(60例)及对照组(60例);观察组在常规治疗护理的同时给予心理护理,对照组仅给予常规治疗护理。治疗前后分别采用症状自评量表(SCL-90)对两组患者进行心理状态评价,治疗后采用Child-pugh进行病情评估。结果两组患者在干预前SCL-90评分各项因子之间比较,差异均无统计学意义(均P>0.05);观察组干预后焦虑、恐怖、抑郁、人际关系、敌对性等因子较对照组得分降低(均P<0.05);且观察组疾病预后较对照组明显改善,两组比较,差异具有统计学意义(P<0.05)。结论心理护理可改善肝硬化患者不良心理状态及疾病状态。Objective To explore the clinical significance of psychological nursing on patients with hepatic cirrhosis. Methods A total of 120 patients with hepatic cirrhosis were divided into two groups. The experiment group （n = 60） received routine therapy and psychological nursing and the control group received routine therapy without psychological nursing. Symptom check list 90 （SCL-90） and Child-pugh were administered to them before and after the treatment. The scores were compared. Results There was no difference in every factor of SCL-90 before the treatment （P 〉 0.05）. After the treatment, the factor scores of SCL-90 and Child-pugh such as anxiety, fear, depression, social relationship and hostility in the experimental group were significantly lower than in the control group （P 〈 0.05）. The prognosis in the experimental group was significantly better than that in the control group. Conclusion The psychological nursing on patients with hepatic cirrhosis can improve patients＇ poor psychology and their disease.

关 键 词：肝硬化 心理干预 症状自评量表 

分 类 号：R473.5[医药卫生—护理学]