摘要
[摘要 ] 目的 分析研討护理干预改善肝硬化失代偿期患者生存质量的影响。 方法 采用随机抽签方式，从我院 2017年 5月～ 2019年 10月期间收治的肝硬化失代偿期疾病中，抽取 104例纳入到研究中，随机将其分 52例对照组（常规护理）和 52例研究组（优质的综合护理干预），护理后，对比两组治疗期间和治疗后一年的生存质量状况。 结果 对比入院时，两组患者遵医嘱率和掌握用药知识状况，差异无统计学意义（ P>0.05）；对比出院时，患者遵医率和掌握用药知识状况，研究组（ 92.31%、 90.38%）高于对照组（ 67.31%、 73.07%），差异有统计学意义（ P<0.05）。对比两组患者护理后 SCL-90评分，包含精神病性、偏执、抑郁、焦虑、强迫症状等方面，研究组评分均低于对照组评分，差异有统计学意义（ P<0.05）。对比两组患者护理后 SF-36评分状况，从总体健康、活力、社会功能、躯体功能、躯体角色等方面来看，研究组评分均高于对照组评分，差异有统计学意义（ P<0.05）。 结论 通过给予肝硬化失代偿期患者护理干预，可将健康知识灌输给患者，提升其遵医性，一定程度上控制诱发并发症的危险因素，缓解其负面心理，达到提升其生活质量的目的。
[关键词 ] 肝硬化失代偿期；生存质量；护理干预；常规护理
[Abstract] Objective To analyze the effect of nursing intervention on the quality of life of patients with decompensated cirrhosis. Methods a total of 104 cases of decompensated diseases of liver cirrhosis in our hospital from May 2017 to October 2019 were randomly divided into 52 control groups (routine nursing) and 52 study groups (high-quality comprehensive nursing intervention). After nursing, the quality of life of the two groups during the treatment and one year after the treatment were compared. Results there was no significant difference between the two groups (P > 0.05) in the rate of compliance with the doctor's orders and the status of mastering the knowledge of drug use between the two groups. The rate of compliance with the doctor's orders and the status of mastering the knowledge of drug use in the study group (92.31%, 90.38%) was higher than that in the control group (67.31%, 73.07%), and the difference was statistically significant (P < 0.05). Compared the SCL-90 scores of the two groups after nursing, including psychosis, paranoia, depression, anxiety, obsessive-compulsive symptoms, the scores of the study group were lower than those of the control group, the difference was statistically significant (P < 0.05). Comparing the SF-36 scores of the two groups after nursing, the scores of the study group were higher than those of the control group in terms of overall health, vitality, social function, physical function and physical role, with a statistically significant difference (P < 0.05). Conclusion by giving nursing intervention to patients with decompensated cirrhosis, we can instill health knowledge into patients, improve their compliance, control the risk factors of complications to a certain extent, alleviate their negative psychology, and achieve the purpose of improving their quality of life.
出版日期
2020年06月12日（中国期刊网平台首次上网日期，不代表论文的发表时间）
