酒精性肝病合并戒断综合征患者护理干预效果分析

Analysis on nursing intervention effect in patients with alcoholic liver disease combined withdrawal syndrome

目的探讨酒精性肝病合并戒断综合征患者的心理状况及护理干预方法。方法采用症状自评量表(SCL-90)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对50例慢性重症肝炎患者进行测评,对心理问题突出者给予相应的护理干预,干预后再次进行评定,将干预前的测评结果分别同全国常模、护理干预后的测评结果进行比较。结果酒精性肝病合并戒断综合征患者干预前SCL-90、SAS、SDS得分均高于全国常模,差异有显著统计学意义(P<0.01);干预前后得分比较,差异有显著统计学意义(P<0.01)。患者出院时健康知识知晓率显著优于入院时(P<0.05)。结论采取积极有效的临床护理干预措施,能使戒断综合征患者克服负性心理情绪反应,有效改善心理状况,提高治疗依从性,促进症状好转和疾病康复。

Objective To investigate the psychological condition and nursing intervention methods in patients with alcoholic liver disease combined withdrawal syndrome. Methods We use the self-assessment lists of symptom scale（SCL-90）, anxiety self-assessment（SAS） and depression self rating scale（SDS） in 50 patients with chronic severe hepatitis is evaluated, the country give corresponding nursing intervention for psychological problems, assess again after intervention, the assessment result of intervention before separately with the national norm, the evaluation results after nursing intervention. Results Alcoholic liver disease combined withdrawal syndrome patient intervention before the SCL-90, SAS and SDS scores were higher than the national norm, with very significant difference（P〈0.01）. Score comparison difference before and after the intervention has very significant（P〈0.01）. Aware of knowledge about patients＇ health at discharge was significantly better than on admission（P〈0.05）. Conclusions Take positive and effective clinical nursing interventions that can make withdrawal syndrome patients overcome negative psychological emotional response, effectively improve the psychological condition, improve the treatment compliance, promote symptom improvement and rehabilitation of disease.