探讨规范化干预性护理在甲状腺功能亢进并发肝损害治疗中的应用  

Exploring the Application of Standardized Intervention Nursing in the Treatment of Hyperthyroidism Complicated with Liver Damage

作　　者：何晓红[1] 林雁萍[1] 黄咏梅 HE Xiaohong;LIN Yanping;HUANG Yongmei(Department of Internal Medicine,Fujian Provincial Hospital,Fuzhou,Fujian Province,350000 China)

机构地区：[1]福建省立医院内科,福建福州350000

出　　处：《中外医疗》2021年第35期150-154,共5页China & Foreign Medical Treatment

摘　　要：目的探讨甲状腺功能亢进并发肝损害(甲亢并发肝损害)患者治疗期间应用规范化干预性护理的效果。方法方便选取2019年6月—2020年4月在该院进行治疗的94例甲亢并发肝损害患者作为研究对象,依据其入院时间将2019年6—11月入院的47例患者纳入对照组并予以常规护理,将2019年12月—2020年4月入院的47例患者纳入观察组,观察组在接受常规护理的基础上联合规范化干预性护理。根据汉密尔顿抑郁量表-17项(HAMD-17)及汉密尔顿焦虑量表(HAMA)评分标准对两组负性情绪改善情况进行评估,比较其干预前后的成人自我护理能力量表(ESCA)评分、甲亢并发肝损害相关知识掌握度,记录其干预后对护理工作的满意度。结果干预后,两组HAMD、HAMA评分均低于干预前,ESCA评分高于干预前,甲亢并发肝损害治疗原理、并发症预防等相关知识掌握度高于干预前,差异有统计学意义(P<0.05);观察组HAMD、HAMA评分较对照组低,ESCA评分较对照组高,知识掌握度较对照组高,差异有统计学意义(P<0.05);观察组护理满意度为97.87%,高于对照组的80.85%,差异有统计学意义(χ^(2)=7.162,P=0.007)。结论于甲亢并发肝损害患者治疗期间应用规范化干预性护理可显著减轻其负性情绪,提高其自我护理能力,促使其掌握有效的疾病相关知识,同时获取其对护理工作的认可。Objective To investigate the effect of standardized interventional nursing during treatment of patients with hyperthyroidism and liver damage(hyperthyroidism and liver damage).Methods 94 patients with hyperthyroidism and liver damage who were treated in the hospital from June 2019 to April 2020 were conveniently selected as the research objects.According to their admission time,47 patients admitted from June to November 2019 were included in the control group and received routine care.The 47 patients admitted from December 2019 to April 2020 were included in the observation group,and the observation group was combined with standardized interventional care on the basis of conventional care.According to the hamilton depression scale-17(HAMD-17)and hamilton anxiety scale(HAMA)scoring standards,the two groups'negative emotion improvement were evaluated.The adult self-care ability scale(ESCA)scores and the knowledge mastery of hyperthyroidism complicated with liver damage were compared before and after the intervention,and their satisfaction with nursing work after the intervention was recorded.Results After the intervention,the HAMD and HAMA scores of the two groups were lower than those before the intervention,the ESCA scores were higher than those before the intervention,and the degree of mastery of the treatment principles and prevention of complications of hyperthyroidism complicated by liver damage was higher than that before the interventionthe,the difference was statistically significant(P<0.05).The HAMD and HAMA scores of the observation group were lower than those of the control group,the ESCA scores were higher than that of the control group,and the knowledge mastery was higher than that of the control group,the difference was statistically significant(P<0.05).The nursing satisfaction of the observation group was 97.87%,which was higher than 80.85%of the control group,the difference was statistically significant(χ^(2)=7.162,P=0.007).Conclusion The application of standardized interventional nursing during t

关 键 词：甲状腺功能亢进 肝损害 规范化干预性护理 自我护理能力 负性情绪 

分 类 号：R49[医药卫生—康复医学]