正念放松疏导式护理对改善肝硬化患者负性情绪、生活质量及并发症的作用

Eff ects of mindfulness relaxation and guiding nursing on improving negative emotions,quality of life and complications in patients with cirrhosis

目的探究正念放松疏导式护理在肝硬化患者中的应用价值。方法选择南通市第三人民医院2019年11月—2021年10月收治的92例肝硬化患者,按照组间基本特征具有可比性的原则分对照组和观察组,每组46例。对照组实施常规心理护理干预,观察组实施正念放松疏导式心理护理干预。采用中文版正性负性情绪量表(PANAS)和世界卫生组织生存质量测定量表简表(WHOQ0L-BREF)评价两组患者干预前后负性情绪、生活质量情况,观察两组并发症发生情况。结果干预后,观察组患者负性情绪、正性情绪评分优于对照组,差异具有统计学意义(P<0.05);干预后,观察组患者情感、生理、社会及角色生活质量评分高于对照组,差异具有统计学意义(P<0.05);观察组患者并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论对肝硬化患者采取正念放松疏导式护理干预对策,可有效疏导患者焦躁、恐慌等负性情绪,提升生活质量水平,降低并发症的发生概率,促进患者机体能够得以早期康复。

Objective To explore the application value of mindfulness relaxation and guiding nursing in patients with cirrhosis was as the study subject.Methods A total of 92 patients with liver cirrhosis who were admitted to Nantong Third People's Hospital from November 2019 to October 2021 were selected and divided into a control group and an observation group according to the principle of comparability of basic characteristics between groups,with 46 cases in each group.The control group was given routine psychological nursing intervention,while the observation group was given mindfulness relaxation and guiding psychological nursing intervention.Chinese-version positive and negative affect scale(PANAS)and World Health Organization quality of life scales(WHOQOL-BREF)were used to evaluate the negative emotions and quality of life of the two groups of patients before and after the intervention,and the incidence of complications in the two groups was observed.Results After the intervention,the scores of positive emotion and negative emotion in the observation group were better than those in the control group,and the diff erences were statistically signifi cant(P<0.05).After the intervention,the scores of emotion,physiology,society and role in the quality of life of the observation group were higher than those of the control group,and the diff erences were statistically signifi cant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,and the diff erence was statistically signifi cant(P<0.05).Conclusion Taking the mindfulness-relaxing and guiding nursing intervention measures for patients with liver cirrhosis can eff ectively relieve the negative emotions such as anxiety and panic,improve the quality of life,reduce the probability of complications,and promote the early recovery of the patient's body.