慢性疾病个性化延伸护理对乙肝肝硬化失代偿期患者心理及生活质量的影响  

Effects of individualized extended nursing for chronic diseases on psychology and quality of life of patients with hepatitis B cirrhosis in decompensated stage

作　　者：朱玉艳[1] 张永萍[1] 廖礼梅[1] ZHU Yuyan;ZHANG Yongping;LIAO Limei(Department of Infectious Disease,People’s Hospital of Xinjiang Uyghur Autonomous Region,Urumqi 830000,China)

机构地区：[1]新疆维吾尔自治区人民医院感染性疾病科,乌鲁木齐830000

出　　处：《新疆医科大学学报》2022年第5期575-580,共6页Journal of Xinjiang Medical University

基　　金：新疆维吾尔自治区自然科学基金(2021D01C153)。

摘　　要：目的研究慢性疾病个性化延伸护理对乙肝肝硬化失代偿期患者心理及生活质量的影响。方法选取2017年3月至2020年12月新疆维吾尔自治区人民医院感染科收治的116例乙肝肝硬化失代偿期患者为研究对象,随机分为对照组和观察组,每组58例。对照组实施常规护理,观察组予个性化延伸护理。干预2个月后,采用焦虑自评量表(SAS)、抗逆力水平量表(CD-RISC)、简明健康调查表(SF-36)及睡眠质量量表(PSQI)评估两组患者治疗前后心理及生活质量状态。比较治疗前后两组患者营养状况[体重指数(BMI)、血红蛋白(Hb)、白蛋白(ALB)、血清总蛋白(TP)],肝功能指标[总胆红素(TBil)、谷草转氨酶(AST)、谷丙转移酶(ALT)]及门静脉压力指标(主干内径、血流量、血流速),记录出院后2个月内并发症发生情况。结果干预后,与对照组相比,观察组SAS、CD-RISC、PSQI量表评分降低更多,SF-36量表评分提高更加显著(P<0.05)。干预后,两组患者Hb、ALB、TP水平均升高且与对照组相比,观察组更优(P<0.05)。干预后,两组患者TBil、AST、ALT均下降,且观察组TBil和ALT水平低于对照组(P<0.05)。干预后,与对照组相比,观察组门静脉主干内径和门静脉血流量减少(P<0.05),门静脉血流速增加更快(P<0.05)。观察组并发症率为15.92%,低于对照组并发症率36.21%(χ^(2)=6.474,P=0.011)。结论慢性疾病个性化延伸护理可以有效提高乙肝肝硬化失代偿期患者心理及生活质量,改善患者营养状况、肝功能及门静脉压力。Objective To study the effect of extended care for patients with hepatitis B cirrhosis and their psychological and quality of life.Methods 116 patients with decompensated hepatitis B cirrhosis admitted to infection department of the hospital from March 2017 to December 2020 and were randomly divided into the control group and the observation group,with 58 cases in each group.The control group received normal routine nursing,and the observation group received personalized extended nursing for patients with chronic diseases.After 2 months of intervention,the psychological and quality of life of the two groups were evaluated by self-rating anxiety scale(SAS),stress level scale(CDRISC),concise health questionnaire(SF-36)and sleep quality scale(PSQI).The nutritional status[body mass index(BMI),hemoglobin(HB),albumin(ALB),serum total protein(TP)],liver function indexes[total bilirubin(TBil),aspartate aminotransferase(AST),alanine transferase(ALT)]and portal vein pressure indexes(trunk diameter,blood flow and blood flow rate)were compared between the two groups before and after the treatment,and the complications within 2 months after discharge were recorded.Results After the intervention,compared with the control group,the scores of SAS,cd-risc and PSQI in the observation group decreased more,and the scores of SF-36 increased more significantly(P<0.05).After the intervention,the levels of Hb,ALB and TP in the two groups were increased,and the observation group was better than the control group(P<0.05).After the intervention,the levels of TBil,AST and ALT in the observation group were lower than those in the control group(P<0.05).After the intervention,compared with the control group,the diameter of the main portal vein and the blood flow of portal vein in the observation group were decreased more(P<0.05),and the blood flow velocity of portal vein were increased faster(P<0.05).The complication rate in the observation group was 15.92%,which was lower than 36.21%in the control group(χ^(2)=6.474,P=0.011).Conclusion Person

关 键 词：延伸护理 肝硬化失代偿期 肝功能 门静脉压力 

分 类 号：R472[医药卫生—护理学]