心理护理结合路径式健康教育在肝硬化失代偿期患者中的应用评价

Application evaluation of psychological nursing combined with health education pathway for patients with decompensated cirrhosis

目的评价心理护理干预结合路径式健康教育在肝硬化失代偿期患者中的应用效果。方法选取120例肝硬化失代偿期患者按随机数字表法分成研究组和对照组各60例。对照组实行常规护理,研究组在常规护理程序的基础上给予心理护理干预和路径式健康教育。对比2组入、出院时的焦虑程度、抑郁程度、对健康知识知晓情况、生活质量及并发症发生率、住院时间。结果 2组入院时焦虑得分、抑郁得分、健康知识得分、生活质量得分差异无统计学意义(P>0.05);研究组出院时抑郁得分、焦虑得分显著低于对照组(P<0.05);出院时研究组健康知识得分、生活质量得分均较对照组高(P<0.05);研究组并发症发生率低于对照组(P<0.05);研究组住院时间显著较对照组短(P<0.05)。结论对肝硬化失代偿期患者实行心理护理干预结合路径式健康教育,可有效改善其负性情绪,提高对疾病的认知,并缩短住院时间,改善生活质量。

Objective To evaluate application effect of psychological nursing intervention and health education pathway in patients with decompensated cirrhosis. Methods According to random number method,a total of 120 patients with decompensated liver cirrhosis were randomly divided into study group and control group with 60 cases in each group. The control group was given routine nursing while the study group implemented psychological nursing intervention and health education pathway based on routine nursing procedure. The degree of anxiety and depression,the awareness of health knowledge,quality of life,and incidence of complication as well as hospitalization time when discharging were compared. Results The anxiety, depression, health knowledge scores and quality of life score of two groups on admission had no significant differences（ P〈0. 05）. The anxiety and depression scores in the study group were significantly lower than that in the control group at the time of discharge（ P〈0. 05）. The health knowledge score and quality of life score in the study group at discharge were significantly higher than that in the control group（ P〈0.05）. The incidence of complications in the study group was less than that in the control group（ P〈0. 05）. The hospitalization time in the study group was significantly shorter than that in the control group（ P〈0. 05）. Conclusion Psychological nursing intervention combined with health education pathway for patients with decompensated cirrhosis can effectively improve the negative emotion,enhance the cognition to disease,shorten the hospitalization time,and improve the quality of life.