心理护理干预在肝硬化腹水患者中的运用效果与体会.docVIP

心理护理干预在肝硬化腹水患者中的运用效果与体会 段婷婷 作者单位：518000 深圳 深圳市南山区西丽人民医院 护理部 【摘 要】目的：探讨心理护理干预在肝硬化腹水患者中的运用效果和体会。方法：将116例肝硬化腹水患者随机分为对照组和干预组。对照组58例采用常规治疗与护理，干预组58例在常规治疗及护理的基础上增加心理护理干预。比较两组患者SAS，SDS评分以及患者的满意度情况。结果：干预组患者的SAS及SDS评分干预后均较干预前明显降低，且明显低于对照组(p＜0.05)，干预组患者的护理满意度达100%，明显高于对照组87.06%。结论：心理护理干预用于肝硬化腹水患者，可明显改善其焦虑抑郁状态，提高了整体护理质量，增加了患者满意度，有利于帮助其尽早康复，可进一步在临床推广和运用。 【关键词】心理护理 肝硬化腹水 护理质量 The application of psychological nursing intervention in patients with liver cirrhosis ascites effect and experience Duan Tingting The author addresses： Peoples hospital of XiLi，NanShan District，Shenzhen City Nursing department 【Abstract】Objective:?To explore the application of psychological nursing intervention in patients with liver cirrhosis ascites effects and experience。Methods: 116 patients with liver cirrhosis ascites were randomly divided into control group and intervention group。The control group of 58 patients with routine therapy and nursing，Intervention group of 58 cases on the basis of routine treatment and nursing increase psychological nursing intervention。Compare two groups of patients with SAS, SDS scores, and the satisfaction of patients。Results: Intervention group patients with SAS and SDS score after the intervention were significantly decreased, compared with before，And significantly lower than the control group (p 0.05)，The nursing intervention group patients satisfaction was 100%，Significantly higher than the control group 87.06%。Conclusion：Psychological nursing intervention for patients with liver cirrhosis ascites，Can significantly improve the anxiety depression，To improve the overall quality of care，Increased patient satisfaction，Is conducive to help the rehabilitation as soon as possible，Can be further in clinical promotion and application 【 key words 】Psychological care ； ascites due to cirrhosis ； Quality of care 肝硬化是临床常见的慢性肝病，腹水是肝功能失代偿期的常见表现。大量腹水可出现呼吸困难，有效循环血量不足，容易导致功能性肾衰竭[1]。肝腹水是肝硬化代偿功能减退的最突出的体征，提示肝硬化已属于失代偿期。由于疾病病程长，症状不易改善，预后较差，患者常出现恐惧、悲观、失望、焦虑、孤独、自卑、盲目、多疑以及遗弃感等不良心理，因