预见性护理对慢性乙型肝炎肝衰竭患者术后康复及负性情绪的影响

Effect of Predictive Nursing on Postoperative Rehabilitation and Negative Emotion of Patients with Chronic Hepati⁃tis B Liver Failure

目的:探讨预见性护理对慢性乙型肝炎肝衰竭患者术后康复及负性情绪的影响。方法:回顾性收集2018年5月—2020年5月在九江市第一人民医院手术治疗的86例慢性乙型肝炎肝衰竭患者临床资料,根据护理方式不同分为对照组和试验组,每组各43例。对照组采用常规护理。试验组在对照组的基础上采用预见性护理。两组患者均连续护理2周,比较两组患者住院时间、并发症发生率、负性情绪及护理满意度。结果:试验组患者住院时间短于对照组,差异有统计学意义(t=2.140,P=0.036);试验组患者并发症发生率低于对照组,差异有统计学意义(χ^(2)=4.441,P<0.05);护理后,两组患者抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均降低,且试验组评分较对照组低,差异有统计学意义(t=10.096、12.027,P<0.05);试验组患者护理总满意度高于对照组,差异有统计学意义(χ^(2)=5.460,P<0.05)。结论:预见性护理可加快慢性乙型肝炎肝衰竭患者术后康复,减少术后并发症,改善负性情绪,提高患者护理满意度。

Objective:To explore the effect of predictive nursing on postoperative rehabilitation and negative emotions of pa⁃tients with chronic hepatitis B liver failure.Methods:The clinical data of 86 patients with chronic hepatitis B liver failure who un⁃derwent surgical treatment in the hospital from May 2018 to May 2020 were retrospectively collected.According to different nurs⁃ing methods,they were divided into two groups,with 43 cases in each group.The control group used routine nursing care.On the basis of the control group,the experimental group used predictive nursing care.Both groups were given continuous nursing care for 2 weeks.The length of hospital stay,complication rate,negative emotion and nursing satisfaction were compared between the two groups.Results:The hospitalization time of patients in the experimental group was shorter than that in the control group,and the difference was statistically significant(t=2.140,P=0.036).The incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(χ^(2)=4.441,P<0.05).After nursing,the SDS and SAS scores of the two groups were reduced,and the scores of the test group were lower than those of the control group,and the differ⁃ence was statistically significant(t=10.096,12.027,P<0.05).The total nursing satisfaction was higher than that of the control group,and the difference was statistically significant(χ^(2)=5.460,P<0.05).Conclusion:Predictive nursing can speed up the postop⁃erative recovery of patients with chronic hepatitis B liver failure,reduce postoperative complications,improve negative emotions,and have a high degree of satisfaction with patient care.