冥想疗法在重型肝炎患者行人工肝治疗中的临床应用效果  

The Clinical Application Effect of Meditation Therapy in Artificial Liver Therapy in Patients with Severe Hepatitis

作　　者：樊霞 喻蓉艳[1] 张芳[1] 揭云云 段甜甜 FAN Xia;YU Rongyan;ZHANG Fang;JIE Yunyun;DUAN Tiantian(Second Affiliated Hospital of Nanchang University,Nanchang 330006,China;不详)

机构地区：[1]南昌大学第二附属医院,江西南昌330006

出　　处：《中国医学创新》2023年第21期111-115,共5页Medical Innovation of China

基　　金：江西省卫生健康委科技计划项目(202130427);江西省中医药管理局科技计划项目(2022B365)。

摘　　要：目的:探讨冥想疗法对重型肝炎行人工肝治疗患者依从性、情绪状态、睡眠质量及生活质量的影响。方法:选取2022年1—10月南昌大学第二附属医院收治的重型肝炎行人工肝治疗的患者80例为研究对象。采用随机数字表法将其分为对照组和观察组,各40例。对照组患者开展常规护理,在此基础上,观察组患者开展冥想疗法护理。比较两组患者遵医行为,护理前及护理2周后焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)、生活质量综合评定问卷-74(GQOLI-74)评分情况。结果:观察组患者遵医行为优于对照组,差异有统计学意义(P<0.05)。护理前,两组患者SAS评分、SDS评分、PSQI评分、GQOLI-74评分比较,差异均无统计学意义(P>0.05);护理2周后,两组患者SAS评分、SDS评分、PSQI评分均低于护理前,GQOLI-74评分均高于护理前,差异均有统计学意义(P<0.05);观察组护理2周后SAS评分、SDS评分、PSQI评分均低于对照组,GQOLI-74评分高于对照组,差异均有统计学意义(P<0.05)。结论:冥想疗法可显著提升重型肝炎行人工肝治疗患者的遵医行为,改善患者不良情绪状态,提高患者睡眠质量与生活质量,临床应用效果满意。Objective:To explore the effects of meditation therapy on compliance,emotional state,sleep quality and quality of life in patients with severe hepatitis undergoing artificial liver surgery.Method:From January to October 2022,80 patients with severe hepatitis who were admitted to Second Affiliated Hospital of Nanchang University were selected as the study subjects.They were divided into a control group and an observation group using random number method,with 40 cases in each group.The control group received routine care.On this basis,the observation group received meditation therapy care.The compliance behavior of two groups of patients,as well as the scores of the self-rating anxiety scale(SAS),self-rating depression scale(SDS),Pittsburgh sleep quality index(PSQI)and comprehensive quality of life questionnaire 74(GQOLI-74)before and after 2 weeks of care were compared.Result:The compliance behavior of patients in the observation group was better than that in the control group,the difference was statistically significant(P<0.05).Before nursing,there were no statistically significant differences in SAS score,SDS score,PSQI score and GQOLI-74 score between the two groups(P>0.05);after 2 weeks of nursing,the SAS score,SDS score and PSQI score of the two groups were lower than those before nursing,while the GQOLI-74 scores were higher than those before nursing,with statistical significance(P<0.05),after 2 weeks of nursing,the SAS score,SDS score and PSQI score of the observation group were lower than those of the control group,while the GQOLI-74 score was higher than that of the control group,with statistical significance(P<0.05).Conclusion:Meditation therapy can significantly improve the compliance behavior of patients with severe hepatitis undergoing artificial liver treatment,improve their negative emotional state,and improve their sleep and life quality.The clinical application effect is satisfactory.

关 键 词：重型肝炎 人工肝 冥想疗法 遵医行为 情绪 生活质量 

分 类 号：R473.5[医药卫生—护理学]