创新型护理干预对失代偿期乙肝肝硬化患者负性情绪和生活质量的影响

Effect of Innovative Nursing Intervention on Negative Emotions and Quality of Life in Patients with Decompensated Hepatitis B Cirrhosis

目的探究创新型护理干预对失代偿期乙肝肝硬化患者负性情绪和生活质量的影响。方法方便选取2020年6月—2021年8月期间江苏省徐州市传染病医院消化科收治的120例失代偿期乙肝肝硬化患者作为研究对象,按照两组基础资料具有匹配性的原则平均分为对照组和研究组,对照组60例患者进行常规护理干预,研究组60例患者在此基础上进行创新型护理干预。对比两组患者干预前后焦虑、抑郁情绪,疾病管理行为和生活质量的差异,统计两组患者并发症发生情况。结果干预后,研究组焦虑评分(45.35±3.37)分、抑郁评分(40.49±3.38)分,均低于对照组(56.44±4.25)分、(54.37±4.51)分,差异有统计学意义(P<0.05)。干预后,研究组饮食管理、日常生活管理、用药管理、病情监测管理评分分别为(25.53±2.46)分、(26.58±2.44)分、(18.54±1.67)分、(17.63±1.59)分,高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率为3.33%,低于对照组的13.33%,差异有统计学意义(χ^(2)=3.927,P=0.047)。干预后,研究组腹部症状、乏力、全身症状、活动能力、情感职能、焦虑、总评分分别为(15.26±1.43)分、(26.48±2.29)分、(27.68±2.36)分、(17.41±1.63)分、(47.59±3.44)分、(28.35±2.36)分、(163.53±9.67)分,优于对照组,差异有统计学意义(P<0.05)。结论创新型护理模式能明显改善失代偿期乙肝肝硬化患者心理状态,提高了患者生活质量。

Objective To explore the effect of innovative nursing intervention on negative emotions and quality of life in patients with decompensated hepatitis B cirrhosis.Methods 120 patients with decompensated hepatitis B cirrhosis admitted to the Department of Gastroenterology from June 2020 to August 2021 in Xuzhou Infectious Diseases Hospital of Jiangsu Province were conveniently selected as the research objects.According to the principle of matching basic data between the two groups,they were equally divided into the control group and the research group.60 patients in the control group received routine nursing intervention,and 60 patients in the research group received innovative nursing intervention on this basis.The differences in anxiety,depression,disease management behavior and quality of life were compared between the two groups before and after the intervention,and the incidence of complications in the two groups was counted.Results After intervention,the anxiety score(45.35±3.37)points and depression score(40.49±3.38)points of the study group were lower than those of the control group(56.44±4.25)points and(54.37±4.51)points,the difference was statistically significant(P<0.05).After intervention,the scores of dietary management,daily life management,medication management,and disease monitoring management in the study group were(25.53±2.46)points,(26.58±2.44)points,(18.54±1.67)points,and(17.63±1.59)points,respectively,higher than those in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the study group was 3.33%,lower than 13.33%in the control group,the difference was statistically significant(χ^(2)=3.927,P=0.047).After intervention,the study group had abdominal symptoms,fatigue,systemic symptoms,activity ability,emotional function,anxiety,and total scores of(15.26±1.43)points,(26.48±2.29)points,(27.68±2.36)points,(17.41±1.63)points,(47.59±3.44)points,(28.35±2.36)points,and(163.53±9.67)points,respectively,which were superior to the control group,the difference was statistically significant(P<0.05).Conclusion The innovative nursing model can significantly improve the mental state of patients with decompensated hepatitis B cirrhosis and improve the quality of life of patients.