OREM支持-教育理论对乙肝并发慢加急性肝衰竭患者心理状态及生活质量的影响  

Effects of OREM support-education theory on psychological status and quality of l ife in patients with hepatitis B complicating acute-on-chronic liver failure

作　　者：尤海黄 余建平 章建兰 陈秀 盛吉芳 YOU Haihuang;YU Jianping;ZHANG Jianlan;CHEN Xiu;SHENG Jifang(Department of Infection,Linping Patients Area,Second Affiliated Hospital of Zhejiang University,Hangzhou,Zhejiang 311100,China)

机构地区：[1]浙江大学附属第二医院临平院区感染科,杭州311100

出　　处：《重庆医学》2022年第23期3988-3991,3996,共5页Chongqing medicine

基　　金：国家自然科学基金面上项目(81670567)。

摘　　要：目的探讨OREM支持-教育理论对乙型病毒性肝炎(乙肝)并发慢加急性肝衰竭(ACLF)患者心理状态及生活质量的影响。方法选取2020年1月至2021年6月该院收治的乙肝并发ACLF患者84例作为研究对象,采用随机数字表法分为对照组和研究组,每组42例。对照组给予常规护理干预,研究组给予基于OREM支持-教育理论的综合护理干预,两组患者均持续干预8周。比较两组患者干预前后症状自评量表(SCL)-90评分和WHO生活质量测定简表(WHO-Qol-BREF)评分。结果两组患者护理后SCL-90中躯体化、强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性评分均明显下降,WHO-Qol-BREF中心理领域、生理领域、环境领域、社会关系领域评分均明显升高,且研究组护理后SCL-90各维度评分均明显低于对照组,WHO-Qol-BREF各维度评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论OREM支持-教育理论干预可在一定程度上改善乙肝并发ACLF患者焦虑、抑郁等负面心理状态,提高其生活质量。Objective To investigate the effect of OREM support-education theory on the psychological status and quality of life of the patients with hepatitis B complicating acute-on-chronic liver failure(ACLF).Methods Eighty-four patients with hepatitis B complicating ACLF admitted to this hospital from January 2020 to June 2021 were selected as the study subjects and divided into the control group and study group according to the random number table method,42 cases in each group.The control group was given the conventional nursing intervention and the study group was given the comprehensive nursing intervention based on OREM support-education theory.The intervention in the two groups lasted for 8 weeks.The symptom selfrating scale(SCL-90)scores and WHO Quality of Life Measurements Short Form(WHO-Qol-BREF)scores before and after the intervention were compared between the two groups.Results The scores of somatization,obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoia and psychoticism in the SCL-90 scale after intervention in both groups were significantly decreased,the scores of the psychological domain,physiological domain,environmental domain and social relationship domain in the WHO-Qol-BREF scale were significantly increased,moreover the scores of various dimensions in the SCL-90 scale after care in the study group were significantly lower than those in the control group,the scores of various dimensions in the WHO-Qol-BREF scale were significantly higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The OREM support-education theory intervention could improve the negative psychological status such as anxiety and depression and increase the quality of life in the patients with hepatitis B complicating ACLF to some extent.

关 键 词：乙型肝炎 慢加急性肝衰竭 OREM支持-教育理论 症状自评量表-90 WHO生活质量测定简表 

分 类 号：R473.5[医药卫生—护理学]