优质护理对肝硬化失代偿期患者心理状况、自护能力和生活质量的影响

目的:探讨优质护理对改善肝硬化失代偿期患者心理状况、自护能力和生活质量的影响。方法:73例肝硬化失代偿期患者随机分为实验组(n=36)和对照组(n=37),两组均遵医嘱执行各项治疗,对照组实施常规护理,实验组给予优质护理干预。观察两组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、自我护理能力测定量表(ESCA)和简明健康调查表(SF-36)评分差异。结果:干预后实验组SAS、SDS评分较对照组降低更为显著,差异有统计学意义(P<0.01),ESCA量表总得分和各维度评分均较对照组增高,差异有统计学意义(P<0.01)。生活质量评估:除躯体健康和躯体疼痛外,实验组SF-36量表中生理职能、总体健康、活力、社会功能、情感智能和心理健康评分均较对照组增高,差异有统计学意义(P<0.01)。结论:优质护理能有效改善肝硬化失代偿期患者焦虑、抑郁心理,提高自护能力和生活质量,值得借鉴。

Influence of high-quality nursing on psychological status,self-care capacity and quality of life in patients with decompensated liver cirrhosis

Objective:To explore the influence of high-quality nursing on psychological status,self-care capacity and quality of life (QOL)in patients with decompensated liver cirrhosis.Methods:A total of 73 patients with decompensated liver cirrhosis were ran-domly divided into experiment group (n=36)and control group (n=37).Both groups were given various treatment following doctors’ advice,on which basis control group was added with routine nursing and experiment group with high-quality nursing.Self-rating anxiety scale (SAS),self-rating depression scale (SDS),exerciseofself-care agencyscale(ESCA)and short form 36 health survey(SF-36) scores were observed before and after nursing interventions in both groups.Results:After interventions,experiment group was notably lower in SAS and SDS scores,the difference was statistically significant (P<0.01 ).The experiment group was prominently higher in total ESCA score and scores of each dimension than control group,the difference was statistically significant (P<0.01 ).As to QOL score,except physical health and body pain,experiment group was evidently higher than control group in the scores of physical function, total health,vitality,social function,emotional capacity and psychological health,the difference was statistically significant (P<0.01). Conclusion:High-quality nursing can effectively improve the anxiety and depression,increase self-care capacity and QOL of patients with decompensated liver cirrhosis,deserving to be referred in clinic.