钭张琪　　黄岩花　　杨杰　　叶璟

[摘要] 目的 探討在肝硬化患者施以护理期间，观察给予心理干预后获得的临床效果。 方法 选择我院2014年5月～2017年2月收治的140例肝硬化患者作为研究对象，所有肝硬化患者通过数字奇偶法分组。对照组予基础护理干预，观察组予基础护理干预及心理干预，对最终心理干预效果回顾性分析。 结果 护理前，观察组肝硬化患者SAS评分结果与对照组肝硬化患者无显著性差异（P>0.05）；护理后，观察组肝硬化患者SAS评分结果低于对照组肝硬化患者（P<0.05）；护理前，观察组肝硬化患者SDS评分结果与对照组肝硬化患者无显著性差异（P>0.05）；护理后，观察组肝硬化患者SDS评分结果低于对照组肝硬化患者（P<0.05）。观察组肝硬化患者满意度高于对照组肝硬化患者（P<0.05）。 结论 对于肝硬化患者施以护理期间有效配合展开心理干预，可以获得明显的心理干预效果，从而为肝硬化疾病患者后续治疗的配合奠定坚实基础。

[关键词] 心理干预；肝硬化护理；SDS；SAS

[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701（2017）21-0142-03

Observation on the application effect of psychological intervention in the nursing of liver nursing

DOU Zhangqi1 HUANG Yanhua2 YANG Jie1 YE Jing1

1.Department of Infectious Disease， Lishui Central Hospital in Zhejiang Province， Lishui 323000， China； 2.Department of Special Survery， Lishui Central Hospital in Zhejiang Province， Lishui 323000， China

[Abstract] Objective To explore and observe the clinical effect of psychological intervention during the nursing care for patients with liver cirrhosis. Methods 140 patients with liver cirrhosis who were admitted to our hospital from May 2014 to February 2017 were selected as the experimental subjects； all patients with cirrhosis were grouped by the even and odd number method； the patients with liver cirrhosis in the control group was treated with basic mursing intervention， and the observation group was treated with basic mursing intervention and psychological intervention； a retrospective analysis was carried out on the effect of final psychological intervention. Results Before the nursing， SAS score in the patients with liver cirrhosis in the observation group was not significantly different from that in the control group（P>0.05）； after the nursing， SAS score in the patients with liver cirrhosis in the observation group was significantly lower than that in the control group（P<0.05）； before the nursing， SDS score in the patients with liver cirrhosis in the observation group was not significantly different from that in the control group（P>0.05）； after the nursing， SDS score in the patients with liver cirrhosis in the observation group was significantly lower than that in the control group（P<0.05）. The satisfaction in the patients with liver cirrhosis in the observation group was significantly higher than that in the control group（P<0.05）. Conclusion Effective psychological intervention during nursing for the patients with liver cirrhosis is able to acquire significant psychological intervention effect， so as to lay a solid foundation for the subsequent treatment for the patients with liver cirrhosis.

[Key words] Psychological intervention； Nursing care of liver cirrhosis； SDS； SAS

作為众多慢性疾病之一，肝硬化疾病除呈现出病程较长的特点外，还表现出疾病多次发作的特点[1-3]。肝硬化疾病在发展至晚期后，会使得患者并发上消化道出血症状、继发感染症状以及肝性脑病症状等，所以于临床表现出较大的难度，此外因为当前无有效方法控制肝硬化疾病，从而使得肝硬化治疗期间较易呈现出诸多负性心理的现象，此种状态下的肝硬化患者往往对临床治疗表现出抵触情绪[4-6]。本研究将研究最佳的肝硬化疾病护理方式作为研究目的，以此说明心理干预的价值。

1资料与方法

1.1一般资料

选择我院2014年5月～2017年2月收治的140例肝硬化患者作为研究对象，所有肝硬化患者通过数字奇偶法分组。对照组（70例）：男36例，女34例；年龄28～69岁，平均（45.29±6.32）岁；病程3个月～10.3年，平均（2.69±1.25）年；观……