肝移植患者重症监护期的心理变化及护理干预措施

Psychological Changes of Patients With Liver Transplantation During Intensive Care and Nursing Intervention

目的分析肝移植患者重症监护期的心理变化并予以相应的护理干预措施。方法抽取我院2004年7月—2016年7月我院收治的43名肝移植患者作为研究对象,采用问卷调查的方式,针对本组患者在手术期间心理变化情况进行统计分析。盲选其中20例患者作为观察组,结合调查结果实施针对性护理;另23例则视为对照组,按照常规方式护理。针对护理效果间的差异性进行对比。结果从本次调查可以发现,导致该部分患者心理出现变化的有关因素主要表现在病房环境情况,睡眠质量等多方面。在针对性护理对策下,观察组焦虑自评量表评分、抑郁自评量表评分、护理满意度均优于对照组,差异具有统计学意义(P<0.05)。结论结合肝移植患者重症监护期的心理变化影响因素实施针对性护理,可有效改善该类患者心理状态,有助于恢复。

Objective To analyze the psychological changes of patients with liver transplantation during the period of intensive care and to provide corresponding nursing interventions. Methods 43 cases of liver transplant patients in our hospital from July 2004 to July 2016 in our hospital as the research object, by means of questionnaire for this group of patients during surgery psychological changes to understand, blind selection in 20 patients as the observation group, according to the result of the investigation for nursing, another 23 cases in the normal manner care, as the control group. To compare the differences between nursing effects. Results From this investigation, it was found that the main factors leading to the psychological changes of the patients were mainly in the ward environment, sleep quality and so on. In the targeted nursing countermeasures, the observation group anxiety self rating scale score, self rating depression scale score, nursing satisfaction were better than the control group, the difference was statistically significant （P〈0.05）. Conclusion Nursing intervention can effectively improve the psychological status of patients with liver transplantation, which can help to improve the psychological status of patients with liver transplantation.