综合护理干预对乙肝后肝硬化顽固性腹水患者不良心理及临床疗效的影响  

Observation of comprehensive nursing intervention on the unhealthy psychology and clinical effects of patients with obstinate hepatocirrhosis ascites

作　　者：郝寒冰[1] 解庆凡[1] 张清格[2] 董润之[1] 周奎龙[1] 

机构地区：[1]河北省邢台市人民医院中医科,河北邢台054001 [2]河北省邢台市人民医院肝病科,河北邢台054001

出　　处：《河北中医》2015年第12期1886-1888,1892,共4页Hebei Journal of Traditional Chinese Medicine

摘　　要：目的观察综合护理干预对肝硬化顽固性腹水患者的不良心理及临床疗效的影响。方法将120例肝硬化顽固性腹水患者随机分为2组。对照组60例给予常规护理,干预组60例在对照组基础上给予综合护理干预。共观察14 d。结果干预组干预后汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分及消化病生存质量指数(GIQLI)、体温及心率较干预前均改善(P<0.05),且改善情况优于对照组(P<0.05)。干预组干预后临床有效率优于对照组(P<0.05)。结论综合护理干预能有效改善肝硬化顽固性腹水患者不良心理,并提高临床疗效,同时可提高患者的生活质量。Objective To investigate comprehensive nursing intervention on the unhealthy psychology and clinical effects of patients with Obstinate hepatocirrhosis ascites. Methods 120 patients with obstinate hepatoeirrhosis？ ascites were randomly divided into two groups. 60 patients in control group were treated by routine nursing. 60 patients in interventional group were treated by comprehensive nursing intervention on the basis of control group treatment. Results The Hamilton＇s depression scale （HAMD）, Hamilton＇s anxiety scale （HAMA）, gastrointestinal quality of life index （ GIQLI）, body temperature and heart rate after intervention in interventional group were improved （ P 〈 0.05 ）, and the improvement in interventional group was superior to that in control group （ P 〈 0.05 ）. The clinical response rate in interventional group was superior to that in control group （ P 〈 0.05 ）. Conclusion Comprehensive nursing intervention can effective reduce clinical recessive omissions, can effectively improve patient＇s unhealthy psychology and increase clinical efficacy, improve patient＇s life quality.

关 键 词：腹水 肝硬化 护理 

分 类 号：R442.5[医药卫生—诊断学] R575.206[医药卫生—临床医学]