个性化护理干预对肝硬化患者生活质量的影响

The effect of customized nursing on the life quality of patients with cirrhosis

目的评价个性化护理干预措施对肝硬化患者生活质量的影响。方法干预措施包括4个方面：心理支持、心理疏导、健康教育、出院随访。选取2010年5月至2011年4月在该院消化科肝硬化住院患者174例，分为实验组87例和对照组87例。实验组由经过培训的护士实施干预措施，对照组采用常规护理。采用慢性肝病生活质量量表（CLDQ）对患者进行问卷调查。结果患者出院3个月后，实验组的不良生活行为发生率显著下降，差异有统计学意义（Z值分别为-3．162，-4．359，-4．796；P〈0．01）；实验组的生活质量提高，差异有统计学意义（t值分别为3．628，5．945，4．153，3．999，7．838，3．147；P〈0．05）；实验组的复发再入院率下降，但差异无统计学意义（χ^2=1．101，P〉0．05）。结论个性化护理干预对肝硬化患者的临床治疗具有积极影响。需要制订完善的规范流程，保证干预措施的实施。

Objective To evaluate the effect of customized nursing on patients with cirrhosis. Methods The intervention included psychological support, psychological consolation, health education and discharge follow -up. 174 patients with cirrhosis being admitted between May 2010 to April 2011, were divided into experimental group （87 cases） and control group （87 eases） . Nursing interventions were implemented by nurses with training experience in experimental group, and control group adopted routine nursing. Chronic Liver Disease Questionnaire （CLDQ） was introduced to collect data. Results Patients were discharged from the hospital 3＇ months later, the bad living behavior rate of experimental group decreased, the difference was statistically significant （ Z = 5. 203, 14. 204, 14. 673 ; P 〈 0. 05 ） ; The life quality of patients in experimental group were improved, the difference was statistically significant （ t = 3. 628, 5. 945, 4. 153, 3.999, 7. 838, 3. 147; P 〈0.05） . The readmission rate declined, but no significant difference was found （χ^2 = 1. 101, P 〉 0.05） Conclusions The effect of customized nursing on on the life quality of patients with cirrhosis is positive. A systematical stipulation is need to ensure the implementation of interventions.