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1、中國(guó)醫(yī)藥導(dǎo)報(bào)2014年1月第11卷第1期·護(hù)理研究·心理護(hù)理干預(yù)對(duì)人工肝治療慢性肝衰竭效果的影響研究黃樂珍劉亮明z1.浙江省樂清市人民醫(yī)院門診部,浙江樂清325600;2.上海交通大學(xué)附屬第一人民醫(yī)院松江分院肝病科,上海201600【摘要】目的探究心理護(hù)理干預(yù)對(duì)人工肝治療慢性肝衰竭的療效影響。方法選取2012年1月~2013年1月浙江省樂清市人民醫(yī)院收治的40例慢性肝衰竭患者,將其按照隨機(jī)化分組法,分為對(duì)照組和干預(yù)組,每組各20例,對(duì)照組采取常規(guī)護(hù)理干預(yù),實(shí)驗(yàn)組患者在常規(guī)護(hù)理基礎(chǔ)上,進(jìn)行心理護(hù)理干預(yù)。評(píng)價(jià)兩組效果。結(jié)果干預(yù)組治療后焦慮評(píng)分、家庭支持Apgar問
2、卷評(píng)分值分別為(35.41±3.21)、(8.43+1.41)分,與對(duì)照組『(45.83+4.59)、(5.12~0.92)分】比較,差異有統(tǒng)計(jì)學(xué)意義(P<0.05);干預(yù)組不良反應(yīng)發(fā)生率為5.0%,與對(duì)照組(35.0%)比較,差異有統(tǒng)計(jì)學(xué)意義(P<0.05);治療后干預(yù)組的血清總膽紅素、丙氨酸氨基轉(zhuǎn)移酶、凝血酶原活動(dòng)度分別為(191.61-4-100.19)~moI/L、(169.23~132.62)U/L、(70.32~25.12)%,與對(duì)照組[(264.12~121.01)txmoI/L、(272.89~171.71)U/L、(56.12~17.98)%
3、】相比,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論在人工肝治療慢性肝衰竭前后進(jìn)行心理護(hù)理干預(yù),可以有效改善患者的不良心理,促進(jìn)疾病恢復(fù),并降低不良反應(yīng)發(fā)生率,是保證治療順利進(jìn)行的重要因素?!娟P(guān)鍵詞】心理護(hù)理;慢性肝衰竭:人工肝治療[中圖分類號(hào)】R473.5【文獻(xiàn)標(biāo)識(shí)碼】C【文章編號(hào)】1673—7210(2014)01(a)一0119—03Influencestudyofcurativeeffectinmentalnursingofchronicliverfailure.treatedofartificialliversupportsystemHUANGLezhen
4、LIUMinglianf1.DepartmentofOutpatient,thePeopleSHospitalofYueqingCity,ZhejiangProvince,Yueqing325600,China;2.Divi-sionofLiver,SongjiangBranchoftheFirstPeopleSHospitalAffiliatedtoShanghaiJiaotongUniversity,Shanghai201600,China[Abstract]ObjectiveToinvestigatetheinnuenceofcurativeeffect
5、inmentalnursingofchronicliverfailuretreatedofartificialliversupportsystem.Methods40patientswithchronicliverfailureinthePeopleSHospitalofZhejiangProvincefromJanuary2012toJanuary2013weredividedintocontrolgroupandinterventiongroupbyrandomizationwith20casesineachgroup.Controlgroupweretr
6、eatedwithregularnurseinterventionasusual,whileinterventiongroupweretreatedwithpsychologicalnursingintervention,onthebasisofconventionalnursing.ResultsAftertreat-ment,theanxietyscoreandsupportfamilyandApgarquestionnairescoresofinterventiongroupwere(35.41±3.21)scoresand(8.43~1.41)scor
7、esrespectively,comparedwiththose[(45.83~4.59)scoresand(5.12~0.92)scores]incontrolgroup,thedifferenceswerestatisticallysignificant(P<0.05).Theincidenceofadversereactionofinterventiongroupwas5.0%,whichwassignificantlylowerthanthatof35.0%incontrolgroup(P<0.o5).Aftertreatment,thediffer-
8、enceofT—BIL,ALT,Ain