护理干预改善肝硬化失代偿期患者生存质量研究.docVIP

护理干预改善肝硬化失代偿期患者生存质量研究 　　[摘要] 目的 分析研?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2015年5月～2016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（P0.05）；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（P0.05）。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（P0.05）。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（P0.05）。 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 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 2095-0616（2017）08-169-03 　　[Abstract] Objective To analyze and study the influence of nursing intervention in improving the quality of life of patients with decompensated cirrhosis. Methods 104 cases of patients with decompensated cirrhosis in our hospital from May 2015 to October 2016 were included in the study.By the random draw methods，they were randomly divided into the control group with 52 cases（conventional care） and the study group with 52 cases （high quality of comprehensive nursing intervention）.Then，after comprehensive nursing intervention，the quality of life of the two groups was compared during the treatment period and after treatment for one year. Results Compared with during the admission，There was no statistical significance in the two groups of patients according to the doctor’s advice rate and grasp the knowledge of drug use（P0.05）.Compared with discharge，the compliance rate of patients and the knowledge of medication use of the study group were 92.31% and 90.38%，which were higher than those of control group with 67.31% and 73.07%，and the data were statistically significant （P 　　[Key words] Decompensated liver cirrhosis；Quality of life；Nursing intervention；Routine nursing care 　　健康教育、药物治疗、饮食控制、生活习惯、心理护理等均属于肝硬化失代偿期患者的基本治疗原则[1-3]。所以，给予护理干预属于提升肝硬化失代偿期患者生活质量的一个重要手段。此研究将104例患者分组研讨，旨在研讨护理干预改善肝硬化失代偿期患者生存质量的影响。现报道如下。 　　1 资料与方法 　　1.1 一般资料 　　采用随机抽签方式，从我院2015年5月～