CAJ | 학술논문

目的：探讨对乙肝肝硬化（乙型肝炎性肝硬化）腹水患者进行健康随访的临床效果。方法：对2010年6月～2012年1月期间我院收治的173例乙肝肝硬化腹水患者的临床资料进行回顾性研究。我们将这173例患者随机分为观察组患者和对照组患者，其中观察组有87例患者，对照组有86例患者。在这两组患者出院后，我院对对照组患者进行常规医嘱式健康教育，对观察组患者在进行常规医嘱式健康教育（方法与对照组患者相同）的基础上，进行健康随访。在两组患者出院6个月后，比较两组患者SAS（焦虑自评量表）和SDS（抑郁自评量表）的评分。结果：观察组患者SAS和SDS的评分为39.6±8.5分和40.4±8.7分。对照组患者SAS和SDS的评分为49.1±9.5分和51.7±10分。观察组患者SAS和SDS的评分均明显低于对照组患者，二者相比差异具有显著性（P＜0.05）。结论：对乙肝肝硬化腹水患者进行健康随访可有效地减轻其焦虑和抑郁的不良情绪，提高其生活质量。此方法值得在临床上推广使用。
목적：탐토대을간간경화（을형간염성간경화）복수환자진행건강수방적림상효과。방법：대2010년6월～2012년1월기간아원수치적173례을간간경화복수환자적림상자료진행회고성연구。아문장저173례환자수궤분위관찰조환자화대조조환자，기중관찰조유87례환자，대조조유86례환자。재저량조환자출원후，아원대대조조환자진행상규의촉식건강교육，대관찰조환자재진행상규의촉식건강교육（방법여대조조환자상동）적기출상，진행건강수방。재량조환자출원6개월후，비교량조환자SAS（초필자평량표）화SDS（억욱자평량표）적평분。결과：관찰조환자SAS화SDS적평분위39.6±8.5분화40.4±8.7분。대조조환자SAS화SDS적평분위49.1±9.5분화51.7±10분。관찰조환자SAS화SDS적평분균명현저우대조조환자，이자상비차이구유현저성（P＜0.05）。결론：대을간간경화복수환자진행건강수방가유효지감경기초필화억욱적불량정서，제고기생활질량。차방법치득재림상상추엄사용。
Objective: To investigate the liver cirrhosis (cirrhosis of hepatitis B) clinical effect of ascites in patients with follow-up of health. Methods: from June January to 2010 2012 during the clinical data of 173 patients with hepatitis B liver cirrhosis ascites patients in our hospital were reviewed retrospectively. We put the 173 patients were randomly divided into the observation group patients and patients in the control group, the observation group 87 cases, control group 86 cases. In these two groups of patients after discharge from the hospital, our hospital on the control group patients were given conventional medical advice on health education, the observation group patients in the conventional order of health education (method and patients in the control group on the basis of the same), health follow-up. In the 6 months after discharge the patients in the two groups were compared between the two groups, SAS (self rating Anxiety Scale) and SDS (self rating Depression Scale) scores. Results:the patients in group SAS and SDS score were observed for 39.6 + 8.5 and 40.4 + 8.7. Patients in the control group SAS and SDS score of 49.1 + 9.5 and 51.7 + 10. The patients in group SAS and SDS score were significantly lower than those of the control group patients were observed, compared to two difference was significant (P < 0.05). Conclusion: health follow-up on patients with hepatitis B liver cirrhosis ascites can effectively relieve the anxiety and depression of the bad mood, improve the quality of life. This method is worthy to be popularized in clinical use.