中医情志护理在肝性脑病患者中的应用效果研究

Study on the Application Effect of Traditional Chinese Medicine Emotional Care in Patients with Hepatic Encephalopathy

目的探讨肝性脑病(HE)患者应用中医情志护理的效果。方法选取2021年1月至2023年1月濮阳市中医医院收治的100例HE患者,以随机数字表法分成干预组(n=50)和对照组(n=50),对照组给予常规心理护理,干预组给予中医情志护理,比较两组负性情绪、心理韧性及生活质量。结果两组干预后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分下降,且干预组低于对照组,差异有统计学意义(P<0.05);两组干预后心理弹性量表(CD-RISC)升高,且干预组高于对照组,差异有统计学意义(P<0.05);两组干预后世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分升高,且干预组高于对照组,差异有统计学意义(P<0.05)。结论HE患者应用中医情志护理,能够缓解焦虑、抑郁情绪,提高心理韧性及生活质量。

Objective To explore the effect of traditional Chinese medicine emotional care in patients with hepatic encephalopathy(HE).Methods 100 patients with HE treated in Puyang Traditional Chinese Medicine Hospital from January 2021 to January 2023 were selected.They were divided into an intervention group(n=50)and a control group(n=50)by random number table method.The control group was given routine psychological care,while the intervention group was given traditional Chinese medicine emotional care.The negative emotions,psychological resilience,and quality of life of the two groups were compared.Results After the intervention,the scores of Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)in both groups decreased,and the intervention group was lower than the control group,with a statistically significant difference(P<0.05).After the intervention,the score of the Connor-Davidson Resilience Scale(CD-RISC)in both groups increased,and the intervention group was higher than the control group,with a statistically significant difference(P<0.05).After the intervention,the World Health Organization Quality of Life Brief Version(WHOQOL-BREF)scores in both groups increased,and the intervention group was higher than the control group,with a statistically significant difference(P<0.05).Conclusion The application of traditional Chinese medicine emotional care in patients with HE can alleviate anxiety and depression,improve psychological resilience and quality of life.