多元化共情护理干预对人工肝支持系统治疗肝衰竭患者的影响  

Influence of diversified empathy nursing intervention on liver failure patients treated with artificial liver support system

作　　者：江艳[1] 张玉静[1] 李阳 赵玲 Jiang Yan;Zhang Yujing;Li Yang;Zhao Ling(Xinxiang Central Hospital,Xinxiang 453000,Henan,China)

机构地区：[1]新乡市中心医院(新乡市护理人员心理减压重点实验室),河南新乡453000

出　　处：《临床心身疾病杂志》2024年第4期152-155,共4页Journal of Clinical Psychosomatic Diseases

基　　金：河南省医学科技攻关计划联合共建项目(编号2018020929)。

摘　　要：目的探讨多元化共情护理干预对人工肝支持系统(ALSS)治疗肝衰竭患者的影响。方法将64例采用ALSS治疗的肝衰竭患者按照就诊顺序分为对照组和观察组,各32例。对照组患者采用常规护理干预,观察组患者采用多元化共情护理干预。采用心理弹性量表(CD-RISC)、一般自我效能感量表(GSES)、自我护理能力测量量表(ESCA)及欧洲五维健康量表(EQ-5D)评定干预前后两组患者心理弹性、自我效能感、自我护理能力及健康状况。结果干预后,两组患者CD-RISC、GSES、ESCA、EQ-5D评分均高于干预前,且观察组高于对照组(P<0.01)。结论多元化共情护理干预可有效提高ALSS治疗肝衰竭患者的心理弹性水平和自我效能感,增强患者自我护理能力,改善其健康状况。Objective To explore the influence of diversified empathy nursing intervention(DENI)on liver failure patients treated with artificial liver support system(ALSS).Methods Sixty-four liver failure patients undergoing the ALSS were divided into control and observation group according to the order of visiting,with 32 cases in each.Controls received routine nursing intervention and observation group did the DENI.Pre-and post-intervention psychological resilience,self-efficacy,self-care ability and healthy status were assessed for both groups using the Connor-Davidson Resilience Scale(CD-RISC),General Self-Efficacy Scale(GSES),Exercise of Self-care Agency Scale(ESCA)and European Five Dimensional Health Scale(EQ-5D),respectively.Results After intervention the scores on the CD-RISC,GSES,ESCA and EQ-5D in both groups were higher compared with pre-intervention and so were those in observation than control group(P<0.01).Conclusion The DENI could effectively improve psychological resilience,self-efficacy,self-care ability and health condition of liver failure patients undergoing the ALSS.

关 键 词：肝衰竭 人工肝支持系统 多元化共情护理干预 心理弹性 自我效能感 自我护理能力 健康状况 

分 类 号：R473.5[医药卫生—护理学] R575.3[医药卫生—临床医学]