中医特色护理联合情志护理应用于慢性乙型肝炎后肝硬化腹胀患者的效果

Effect of traditional Chinese medicine characteristic nursing combined with emotional nursing on patients with abdominal distension of chronic hepatitis B cirrhosis

目的探讨在慢性乙型肝炎(简称“慢性乙肝”)后肝硬化腹胀患者中应用中医特色护理联合情志护理的效果。方法以2019年4月至2020年6月徐州市传染病医院肝病科收治的122例慢性乙肝后肝硬化腹胀患者为研究对象,按照计算机分组法分为对照组和观察组,每组61例。对照组患者给予常规护理,观察组患者在常规护理的基础上给予中医特色护理联合情志护理。比较2组的腹胀消失时间及腹胀积分、营养状况、肝功能和生活质量。结果观察组的腹胀消失时间早于对照组(P<0.05)。干预1个月后,2组的腹胀积分均降低(P均<0.05),且观察组比对照组低(P<0.05);2组的血清总蛋白水平高于干预前,上臂肌围大于干预前(P均<0.05),且观察组均优于对照组(P均<0.05);2组的总胆汁酸、丙氨酸氨基转移酶及总胆红素水平均较干预前降低(P均<0.05),且观察组均比对照组低(P均<0.05);2组的世界卫生组织生存质量测定量表简表(WHOQOL-BREF)各领域得分均高于干预前(P均<0.05),且观察组均比对照组高(P均<0.05)。结论中医特色护理联合情志护理能够缩短慢性乙肝后肝硬化腹胀患者的腹胀时间,减轻其腹胀症状,改善营养状态和肝功能,并提高生活质量。

To explore the effect of traditional Chinese medicine characteristic nursing combined with emotional nursing on patients with abdominal distension of chronic hepatitis B cirrhosis.Method From April 2019 to June 2020,122 patients with abdominal distension of chronic hepatitis B cirrhosis who were admitted to the Department of Hepatology at Xuzhou Infectious Diseases Hospital were selected as the research objects.Random assignment was made by computer grouping:a control group(61 cases)and an observation group(61 cases).The control group was given routine nursing,and the observation group was given traditional Chinese medicine characteristic nursing combined with emotional nursing on the basis of routine nursing.The disappearance time and score of abdominal distension,nutritional status,liver function,and quality of life were compared between the two groups.Result The disappearance time of abdominal distension in the observation group was shorter than that in the control group(P<0.05).After 1 month of intervention,the abdominal distension scores of the two groups were decreased(both P<0.05),and the observation group was lower than the control group(P<0.05).The serum total protein level of the two groups was higher than that before the intervention,and the upper arm muscle circumference was greater than that before the intervention(all P<0.05).The observation group was better than the control group(both P<0.05).The levels of total bile acid,glutamic-pyruvic transaminase,and total bilirubin in the two groups were lower than those before the intervention(all P<0.05),and the observation group was lower than the control group(all P<0.05).The scores of various domains of World Health Organization quality of life-BREF scale(WHOQOL-BREF)in the two groups were higher than those before the intervention(all P<0.05),and the observation group was higher than the control group(all P<0.05).Conclusion Traditional Chinese medicine characteristic nursing combined with emotional nursing can shorten the duration of abdominal distention,relieve the abdominal distention,improve the nutritional status and liver function,and improve the quality of life in patients with abdominal distension of chronic hepatitis B cirrhosis.