个性化护理对行人工肝血浆置换术治疗重型肝炎患者负面情绪的影响分析  

Analysis of the Impact of Personalized Nursing on the Negative Emotions of Patients with Severe Hepatitis Undergoing Liver Plasma Exchange Surgery

作　　者：苏丽容 谢志红 冀美玲 SU Lirong;XIE Zhihong;JI Meiling(Department of Infection Zone 1,Ninth Hospital of the Joint Logistics Support Force of the People's Liberation Army of China,Fuzhou 350003,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇〇医院感染科一区,福州350003

出　　处：《中国医药指南》2024年第26期158-160,共3页Guide of China Medicine

摘　　要：目的探讨重型肝炎患者接受人工肝血浆置换术治疗期间的个性化护理措施及护理效果。方法选取2023年2月至2024年1月期间于我院接受人工肝血浆置换术治疗的80例重型肝炎患者作为研究对象,分为观察组(个性化护理)和对照组(常规护理)各40例,对比两组的焦虑和抑郁情绪严重程度、遵医行为、护理满意度、生活质量、睡眠质量以及不良反应发生情况。结果评价焦虑、抑郁情绪(护理后),观察组患者的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分低于对照组(P<0.05);评价遵医行为,观察组的优良率高于对照组(P<0.05);评价护理满意度,观察组的满意度评分高于对照组(P<0.05);评价生活质量(护理后),观察组的健康调查简表(SF-36)评分高于对照组(P<0.05);评价睡眠质量(护理后),观察组患者的匹茨堡睡眠质量指数量表(PSQI)评分低于对照组(P<0.05);对比不良反应发生情况,观察组的不良反应发生率低于对照组(P<0.05)。结论重型肝炎患者接受人工肝血浆置换术治疗期间,个性化的护理的开展,可以减少负面情绪对于病情恢复的不良影响,改善患者的身心状态,提高治疗效果。Objective To explore personalized nursing measures and nursing effects for patients with severe hepatitis undergoing artificial liver plasma exchange surgery.Methods A total of 80 patients with severe hepatitis who received artificial liver plasma replacement in our hospital from February 2023 to January 2024 were selected as the study objects,and were divided into observation group(personalized nursing)and control group(routine nursing)with 40 cases each.The severity of anxiety and depression,compliance behavior,nursing satisfaction,quality of life,sleep quality and the occurrence of adverse reactions were compared between the two groups.Results Anxiety and depression were evaluated(after nursing).The scores of self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)in observation group were lower than those in control group(P<0.05).The good and good rate of the observation group was higher than that of the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).To evaluate the quality of life(after care),the SF-36 score of the observation group was higher than that of the control group(P<0.05).To evaluate the sleep quality(after nursing),the PSQI score of the observation group was lower than that of the control group(P<0.05);Compared with the occurrence of adverse reactions,the incidence of adverse reactions in observation group was lower than that in control group(P<0.05).Conclusions During the treatment of severe hepatitis patients undergoing artificial liver plasma exchange surgery,personalized nursing can reduce the adverse effects of negative emotions on disease recovery,improve the patient's physical and mental state,and enhance treatment effectiveness.

关 键 词：重型肝炎 个性化护理 人工肝血浆置换术 负面情绪 

分 类 号：R512.6[医药卫生—内科学] R473.5[医药卫生—临床医学]