心理护理对肝硬化患者生存质量和遵医行为的效果  

Effect of psychological care on life quality and treatment compliance of patients with liver cirrhosis

作　　者：张春燕[1] 黄晓利[1] 王英[1] ZHANG Chunyan;HUANG Xiaoli;WANG Ying(First Ajflliated Hospital of Chengdu Medical College,Chengdu,Sichuan,610500)

机构地区：[1]成都医学院第一附属医院,四川成都610500

出　　处：《实用临床医药杂志》2018年第2期49-51,共3页Journal of Clinical Medicine in Practice

基　　金：四川省卫生厅科研课题(150911)

摘　　要：目的探讨心理护理对肝硬化患者生存质量和遵医行为的影响。方法将82例肝硬化患者分为研究组和对照组,各41例,研究组采用心理护理,对照组采用常规护理,比较2组患者的护理干预前后生存质量和遵医情况。结果护理干预后,2组患者的焦虑心理状况、抑郁心理状况、日常生活能力及社会活动状况评分和QOL总分较护理干预前均下降(P<0.05),研究组下降幅度更大(P<0.05);研究组患者的治疗遵医率90.24%高于对照组的65.86%(P<0.05)。结论心理护理能改善肝硬化患者的心理状况,提高治疗遵医行为,有利于疗效和生存质量的提高。Objective To analyze the effect of psychological care on the quality of the patient's survival and treatment compliance of patients with liver cirrhosis.Methods A total of 82 patients with liver cirrhosis were divided into research group and control group according to the nursing method,with 41 cases in each group.The research group used the psychological nursing,while the control group used conventional care.Life quality and treatment compliance before and after nursing intervention were compared.Results After nursing intervention,anxiety,depression,mental conditions,daily life ability and social activity score and QOL scores of two groups were lower than nursing intervention before(P<0.05),and the research group declined even greater than the control group(P<0.05).The treatment compliance rate was significantly higher than that in the control group(90.24%vs.65.86%,P<0.05).Conclusion Psychological nursing can obviously improve the psychological condition of patients with cirrhosis,enhance treatment compliance,the curative effect and the quality of life.

关 键 词：心理护理 肝硬化 生存质量 遵医行为 

分 类 号：R473.5[医药卫生—护理学]