同质性团队心理建设联合持续改进专项管理对肝硬化腹水患者的影响  

Effect of Homogeneous Team Psychological Construction Combined with Continuous Improvement Special Management on Cirrhotic Patients with Ascites

作　　者：牛凡文 Niu Fanwen(Department of Spleen and Stomach,Guangzhou Panyu District Hospital of Traditional Chinese Medicine,Guangzhou 510000,Guangdong Province,China)

机构地区：[1]广州市番禺区中医院脾胃科,广东广州510000

出　　处：《中外医药研究》2024年第27期120-122,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨同质性团队心理建设联合持续改进专项管理对肝硬化(LC)腹水患者的影响。方法:选择2022年6月—2024年2月广州市番禺区中医院收治的LC腹水患者60例为研究对象,随机分为观察组和对照组,每组30例。对照组采用常规基础护理,观察组采取同质性团队心理建设联合持续改进专项管理。比较两组液体出入量记录缺陷发生和认知情况、心理状态。结果:观察组液体出入量记录缺陷发生率低于对照组(P<0.001);观察组知晓重要性率、量杯使用率、食物量化对照表使用率、条目明确率高于对照组(P<0.05);护理后,两组焦虑自评量表、抑郁自评量表评分降低,观察组低于对照组(P<0.05)。结论:同质性团队心理建设联合持续改进专项管理可提高LC腹水患者对液体出入量管理的认知程度,降低液体出入量记录缺陷发生率,改善患者的负面情绪。Objective:To explore the effect of homogeneous team psychological construction combined with continuous improvement special management on ascites patients with cirrhosis(LC).Methods:Sixty patients with LC ascites treated in Guangzhou Panyu District Hospital of Traditional Chinese Medicine from June 2022 to February 2024 were selected as the study objects and randomly divided into observation group and control group,with thirty cases in each group.The control group was treated with routine basic nursing,and the observation group was treated with special management of homogeneous team psychological construction combined with continuous improvement.The occurrence,cognitive status and mental state of fluid intake and outflow records were compared between the two groups.Results:The defect rate of liquid intake and outflow records in the observation group was lower than that in the control group(P<0.001);the rates of importance awareness,usage of measuring cup,usage of food quantification table and item clarity in observation group were higher than those in control group(P<0.05);after nursing,the scores of self-rating anxiety scale and self-rating depression scale decreased in both groups,and the observation group was lower than the control group(P<0.05).Conclusion:Homogeneous team psychological construction combined with continuous improvement of special management can improve LC ascites patients'cognition of fluid intake and outflow management,reduce the incidence of fluid intake and outflow recording defects,and improve patients'negative emotions.

关 键 词：同质性团队心理建设 持续改进专项管理 肝硬化 腹水 液体出入量 

分 类 号：R473.5[医药卫生—护理学]