中医情志护理对肝硬化继发上消化道出血患者整体生活质量及心态的影响

The Influence of Traditional Chinese Medicine Emotional Nursing on Overall Quality of Life and Mentality in Patients with Cirrhosis Secondary to Upper Gastrointestinal Hemorrhage

目的研究肝硬化继发消化道出血患者采用中医情志护理对患者生活质量和心态的影响。方法选取2013年9月—2018年9月收治的肝硬化继发上消化道出血患者64例作为观察样本,按照分层分组的方法均分为对照组(32例)和观察组(32例),对照组患者实施临床常规护理,观察组患者在对照组的基础上加用中医情志护理;对比2组患者干预前后生活质量SF-36评分和焦虑自评量表(SAS)及抑郁自评量表(SDS)评分情况。结果干预前,2组患者SAS、SDS评分及SF-36评分均无明显差异(P> 0. 05)。干预后,2组患者SAS、SDS评分均显著下降,且观察组患者明显低于对照组(P <0. 05);观察组患者物质功能、躯体功能、心理功能及社会功能等SF-36评分均显著高于对照组(P <0. 05)。结论肝硬化继发上消化道出血患者采用中医情志护理干预,更有助于改善患者的不良情绪,提高生活质量。

Objective To analyze the effect of TCM emotional care on patients’quality of life and mental state in patients with cirrhosis secondary to gastrointestinal hemorrhage.Methods Sixty-four patients with upper gastrointestinal hemorrhage secondary to cirrhosis admitted to our hospital from September 2013 to September 2018 were enrolled in the study.They were divided into control group(n=32)and observation group(n=32)according to stratified grouping.Patients in the control group were treated with clinical routine nursing.Patients in the observation group were treated with TCM emotional care on the basis of the control group.The quality of life SF-36 score and the Self-rating Anxiety Scale(SAS)and the Self-rating Depression Scale(SDS)score were compared between the two groups.Results Before the intervention,there were no significant differences in SAS,SDS scores and SF-36 scores between the observation group and the control group(P>0.05).After the intervention,the SAS and SDS scores of the two groups were significantly decreased,and the observation group was significantly lower than the control group(P<0.05).The SF-36 scores of material function,physical function,psychological function and social function of the observation group were significantly higher than those of the control group(P<0.05).Conclusion Patients with cirrhosis secondary to upper gastrointestinal hemorrhage with TCM emotional intervention can help improve patients’bad mood and the quality of life.