心理护理措施对于提高肝硬化患者的治疗依从性和生活质量的效果分析

The effect of psychological nursing measures in improving the treatment compliance and quality of life of patients with cirrhosis

目的探讨心理护理措施在提高肝硬化患者的治疗依从性和生活质量中的效果观察。方法选取我院2013年1月~2015年1月收治的肝硬化患者156例,按随机数字表的方法分为观察组(n=78)和对照组(n=78),予以对照组常规的护理措施,予以观察组心理护理措施。采用汉密尔顿抑郁量表(HAMD)和汉密尔顿焦虑量表(HAMA)分别对两组患者干预前后的抑郁和焦虑状况进行评估,采用健康调查量表评定两组患者治疗后的生活质量,并且对两组患者的治疗依从性进行比较。结果干预前,观察组患者和对照组患者的HAMA和HAMD评分差异无显著性(P>0.05),干预后,观察组患者的HAMA和HAMD评分显著低于对照组(P<0.05);观察组患者的生活质量量表评分8个因子均显著高于对照组(P<0.05);观察组患者的治疗总依从性显著高于对照组(P<0.05)。结论心理护理干预措施能够有效改善肝硬化患者的焦虑和抑郁状态,并加强提高患者的治疗依从性,同时辅助提高患者的生活质量。

Objective To discuss and analyze psychological nursing intervention to improve treatment compliance and quality of life of patients with liver cirrhosis.Methods 156 cases of patients with cirrhosis from January 2013 to January 2015 were selected and randomly divided into the observation group（n=78）and the control group（n=78）.The patients of the control group were given usual nursing care,the patients of the observation group were given systemic nursing intervention.the control group routine treatment and nursing measures of patients,the observation group of patients on the basis of conventional nursing has given psychological intervention,using Hamilton depression scale（HAMD）and Hamilton anxiety scale（HAMA）,respectively,to evaluate two groups of patients before and after the intervention of depression and anxiety and comparison.The health survey scale to assess the quality of life of patients after treatment in both groups,and the comparison.Compare two groups of the treatment of patients with total compliance.Results Before the intervention,the observation group of patients and the control group there was no significant difference of HAMA and HAMD scores in patients with significance（P〉0.05）,and after the intervention,the observation group of patients with HAMA and HAMD scores significantly lower than that of control group（P〈0.05）.Observation group of patients quality of life scale score eight factors and total score were significantly higher than that of control group（P〈0.05）.Observation group in the treatment of patients with total compliance is significantly higher than the control group（P〈0.05）.Conclusion Psychological nursing intervention can effectively improve the state of anxiety and depression of patients with liver cirrhosis,and can improve the patients’ treatment compliance and quality of life,worthy of clinical application.