肝硬化患者生活质量调查及护理对策

The nursing strategy and the quality of life investigation of hepatic cirrhosis patients

目的:对肝硬化患者生活质量进行调查分析,为临床护理干预及提高患者生活质量提供依据。方法:采用GQOL量表对76例肝硬化患者的生活质量进行测试,并根据测试结果提出相应的护理对策。结果:肝硬化患者的主客观指标分布多数集中在"较差",躯体功能维度、心理功能维度和社会功能维度主客观指标无一例达到"极好"。不同文化程度和人均月收入等显著影响患者的生活质量。主要从心理、休息指导、饮食、基础护理、用药指导、健康教育等方面提出相应的护理对策。结论:积极的护理干预可提高肝硬化患者的生活质量。

Objective：To provide evidences for intervening clinical nursing and elevating quality of life of patients by surveying and analyzing the quality of life of hepatic cirrhosis patients.Methods：76 hepatic cirrhosis patients＇ quality of life were tested by GQOL measuring scale,and corresponding nursing strategy was advanced according to the testing results.Results：The majority subjective and objective indexes of hepatic cirrhosis patients focused on ＂poor＂,the subjective index of body function dimension,psychological function dimension and society function dimension,none of them reached the best.Difference of cultural degree and month＇s income per capita were significantly influenced patients＇ quality of life.The corresponding nursing strategy were introduced mainly in mind,resting instruction,meat and drink,basic nursing,medica tion instruction etc aspects.Conclusion：Many factors can affect patients＇ quality of life,not only the nursing of patients＇ body function should be done well,but also mental nursing.