循证护理对慢性肝炎合并慢性肾衰竭患者负性心理及生活质量的影响研究

Study on effect of evidence-based nursing on negative psychology and quality of life in patients with chronic hepatitis and chronic renal failure

目的探讨循证护理对慢性肝炎合并慢性肾衰竭患者负性心理及生活质量的影响。方法 60例慢性肝炎合并慢性肾衰竭患者,随机分为对照组和干预组,每组30例。对照组实施常规护理干预,干预组在常规护理基础上实施循证护理措施。观察比较两组患者干预前后的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分以及治疗后生活质量方面的变化。结果干预后,两组患者的SAS评分、SDS评分均显著低于干预前,且干预组的SAS评分、SDS评分显著低于对照组,差异均具有统计学意义(P<0.05)。干预组患者的生理职能、生理功能、社会职能、情感职能及健康状况评分分别为(78.2±8.3)、(74.5±7.9)、(79.7±6.9)、(68.7±6.7)、(69.8±6.9)分,均高于对照组的(68.1±7.6)、(66.3±7.1)、(65.6±7.5)、(57.2±4.3)、(56.2±6.1)分,差异均具有统计学意义(t=4.915、4.228、5.578、5.132、5.896,P<0.05)。结论循证护理能有效提高慢性肝炎合并慢性肾衰竭患者的生活质量,并且减轻患者负性心理的程度,值得临床推广。

Objective To discuss the effect of evidence-based nursing on negative psychology and quality of life in patients with chronic hepatitis and chronic renal failure. Methods A total of 60 patients with chronic hepatitis and chronic renal failure were randomly divided into control group and intervention group, with 30 cases in each group. The control group received conventional nursing intervention, and the intervention group received evidence-based nursing on the basis of conventional nursing. Observation and comparison were made on changes of self-rating anxiety scale （SAS）, self-rating depression scale （SDS） and quality of life before and after intervention between the two groups. Results After intervention, both groups had obviously lower SAS and SDS score than before intervention, and the intervention group had obviously lower SAS and SDS score than the control group. Their difference was statistically significant （P〈0.05）. The intervention group had physiological function, physiological function, social function, emotional function and health status score respectively as （78.2±8.3）, （74.5±7.9）, （79.7±6.9）, （68.7±6.7） and （69.8±6.9） points, which were all higher than （68.1±7.6）, （66.3±7.1）, （65.6±7.5）, （57.2±4.3） and （56.2±6.1） points in the control group, and their difference was statistically significant （t=4.915, 4.228, 5.578, 5.132, 5.896, P〈0.05）. Conclusion Evidence-based nursing can effectively improve the quality of life of patients with chronic hepatitis and chronic renal failure, and reduce their degree of negative psychology. It is worth clinical promotion.