压力与适应理论在肝硬化代偿期患者中的应用效果评价

The application of stress and adaptation theory in patients with compensated cirrhosis

目的探讨压力与适应理论在肝硬化代偿期患者中的应用效果。方法选取2018年1~10月海南省中医院收治的肝硬化代偿期患者100例,随机分成观察组和对照组,每组50例,对照组给予常规护理及康复指导,观察组在此基础上实施压力与适应理论,干预8周。采用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、自我管理能力量表、生活质量量表(SF-36)及满意度调查表评价两组患者干预效果。结果干预后,两组患者SAS、SDS量表评分均降低,观察组SAS、SDS量表评分均低于对照组,差异有统计学意义(t=11.148、7.247,P<0.05)。干预后,两组的日常生活管理、饮食管理、病情监测管理、用药管理及自我管理行为总分均增高,观察组高于对照组,差异有统计学意义(t=-11.762、-8.263、-7.031、-7.496、-17.175,P<0.05)。干预后,两组的生活质量评分均增高,观察组生活质量评分高于对照组,差异有统计学意义(t=-6.608、-4.582、-9.306、-6.117、-4.347、-9.747、-5.841、-6.584,P<0.05)。干预后,观察组护理满意度(96.00%)高于对照组(74.00%),差异有统计学意义(χ~2=7.440,P=0.006)。结论压力与适应理论能改善肝硬化代偿期患者焦虑、抑郁情绪,提高患者自我管理行为能力及生活质量,促进护理满意度的提升。

Objective To assess the application of stress and adaptation theory in patients with compensated cirrhosis.Methods 100 patients with compensated hepatic cirrhosis admitted to Hainan Hospital of Traditional Chinese Medicine from January 2018 to October 2018 were randomly divided into control group and observation group with 50 cases per group.Patients in the control group received routine nursing and rehabilitation training,while those in the observation group also received stress and adaptation theory service for 8 weeks.Self-rating anxiety scale(SAS),self-rating depression scale(SDS),self-management ability scale,quality of life scale(SF-36)and satisfaction questionnaire were used to evaluate the intervention effects.Results After the intervention,the SAS and SDS scores of both groups declined,and were significantly lower in the observation group than those in the control group(t=11.148,7.247,P<0.05).After the intervention,the overall scores of daily life management,diet management,disease monitoring management,medication management and self-management behavior of both groups increased,and were significantly higher in the observation group than those in the control group(t=-11.762,-8.263,-7.031,-7.496,-17.175,P<0.05).After the intervention,the scores of quality of life of both groups elevated,and was higher in the observation group than that in the control group(t=-6.608,-4.582,-9.306,-6.117,-4.347,-9.747,-5.841,-6.584,P<0.05).After the intervention,the nursing satisfaction rate of the observation group was higher than that of the control group(96.00%vs 74.00%),the difference was statistically significant(χ~2=7.440,P=0.006).Conclusions Stress and adaptation theory application can reduce the anxiety and depression of patients with compensated hepatic cirrhosis;improve the self-management ability,quality of life and nursing satisfaction of patients.