个体化护理干预在胆石症合并肝硬化择期手术患者中的应用价值  

Application value of individualized nursing interventions in selective operation of patients with cholelithiasis combined with liver cirrhosis

作　　者：刘玉华[1] 王艾宁[1] 

机构地区：[1]延安大学附属医院普外科,陕西延安716000

出　　处：《实用临床医药杂志》2015年第12期84-86,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11520455)

摘　　要：目的探讨个体化护理干预在胆石症合并肝硬化患者中的应用价值。方法 100例胆石症合并肝硬化患者,随机分为观察组和对照组,各50例。所有患者完善各项检查后制定手术方案,择期手术,对照组在此基础上给予一般护理,观察组在对照组基础上给予个体化护理干预。结果 2组治疗和护理干预前SCL-90评分,除强迫、恐怖和偏执外,其他评分均高于国内常模(P<0.01);干预后,观察组除强迫、恐怖和偏执外,其他各项评分均显著下降(P<0.01),对照组患者的躯体化、抑郁、焦虑和精神病性评分显著下降,但仍高于常模(P<0.01);组间比较,除强迫、恐怖和偏执外,观察组其他各项评分均低于对照组(P<0.01)。观察组的护理满意度和疾病知晓程度评分均高于对照组(P<0.01)。结论个体化护理干预可有效改善胆石症合并肝硬化患者的负性情绪,提高其对自身病情的了解程度,促进病情恢复。Objective To explore the application value of individualized nursing interventions in selective operation of patients with cholelithiasis combined with liver cirrhosis. Methods A total of 100 patients with cholelithiasis combined with liver cirrhosis were randomly divided into observation group and control group, 50 cases in each group, After all patients completed the examinations, surgical protocols were established and conducted on selective days. Routine nursing was given to the control group, on this basis individualized nursing interventions were given to the observation group. ResuLts Before treatment and nursing interventions, SCL-90 （except force, fear and paranoid） scores were significantly higher in two groups than those in domestic standard models （P 〈 0.01 ）, which also decreased significantly in the observation group after intervention （P 〈 0.01 ）. The scores of somatization, depression, anxiety and psychological diseases decreased obviously in the control group after treatment. However, the changes of the above score were still significantly higher than standard models after treatment in two groups （P〈0.01）. In addition, the observation group was significantly lower in SCL-90 （except force, fear and paranoid） scores （P 〈 0.01 ） and significantly higher in satisfactory degrees of nursing and score of disease acknowledgement than the control group （P 〈 0.01 ）. Conclusion Individualized nursing interventions can effectively improve the negative emotions, increase the acknowledgement and promote the disease recovery of patients with cholelithiasis combined with liver cirrhosis. K

关 键 词：胆石症 肝硬化 个体化护理 心理干预 症状自评量表 

分 类 号：R473.6[医药卫生—护理学]