中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
4期
111-113
,共3页
乙型肝炎%心理护理%传染病%转阴%肝功能
乙型肝炎%心理護理%傳染病%轉陰%肝功能
을형간염%심리호리%전염병%전음%간공능
Hepatitis B%Systematic nursing%Infectious disease%Negative%Liver function
目的 评价心理护理对乙型肝炎住院治疗患者的效果.方法 将100例慢性乙型肝炎住院患者,随机分为观察组和对照组两组,每组50例.临床观察组给予心理护理干预,对照组给予常规护理.对两组患者HBVDNA的半年转阴率、肝功能及治疗前后的心理状态进行比较.结果 治疗半年后,观察组HBV DNA转阴率80％,显著高于对照组的50％,差异有统计学意义(P＜0.05);治疗前两组门冬氨酸氨基转移酶(AST)和丙氨酸氨基转移酶(ALT)水平组间比较差异未见统计学意义(P＞0.05),两组患者治疗半年后AST与ALT均显著下降,与治疗前相比差异有统计学意义(P＜0.05),观察组显著低于对照组(P＜0.05).观察组患者治疗后SAS评分和SDS评分均明显低于治疗前,差异有统计学意义(P＜0.05),对照组患者治疗后SAS评分和SDS评分与治疗前相比较无明显变化,差异未见统计学意义(P＞0.05).结论 心理护理干预对改善肝炎患者肝功能,延缓乙型肝炎的发展,让患者得以恢复到最好的程度实现最好的效果有着积极的意义.
目的 評價心理護理對乙型肝炎住院治療患者的效果.方法 將100例慢性乙型肝炎住院患者,隨機分為觀察組和對照組兩組,每組50例.臨床觀察組給予心理護理榦預,對照組給予常規護理.對兩組患者HBVDNA的半年轉陰率、肝功能及治療前後的心理狀態進行比較.結果 治療半年後,觀察組HBV DNA轉陰率80％,顯著高于對照組的50％,差異有統計學意義(P＜0.05);治療前兩組門鼕氨痠氨基轉移酶(AST)和丙氨痠氨基轉移酶(ALT)水平組間比較差異未見統計學意義(P＞0.05),兩組患者治療半年後AST與ALT均顯著下降,與治療前相比差異有統計學意義(P＜0.05),觀察組顯著低于對照組(P＜0.05).觀察組患者治療後SAS評分和SDS評分均明顯低于治療前,差異有統計學意義(P＜0.05),對照組患者治療後SAS評分和SDS評分與治療前相比較無明顯變化,差異未見統計學意義(P＞0.05).結論 心理護理榦預對改善肝炎患者肝功能,延緩乙型肝炎的髮展,讓患者得以恢複到最好的程度實現最好的效果有著積極的意義.
목적 평개심리호리대을형간염주원치료환자적효과.방법 장100례만성을형간염주원환자,수궤분위관찰조화대조조량조,매조50례.림상관찰조급여심리호리간예,대조조급여상규호리.대량조환자HBVDNA적반년전음솔、간공능급치료전후적심리상태진행비교.결과 치료반년후,관찰조HBV DNA전음솔80％,현저고우대조조적50％,차이유통계학의의(P＜0.05);치료전량조문동안산안기전이매(AST)화병안산안기전이매(ALT)수평조간비교차이미견통계학의의(P＞0.05),량조환자치료반년후AST여ALT균현저하강,여치료전상비차이유통계학의의(P＜0.05),관찰조현저저우대조조(P＜0.05).관찰조환자치료후SAS평분화SDS평분균명현저우치료전,차이유통계학의의(P＜0.05),대조조환자치료후SAS평분화SDS평분여치료전상비교무명현변화,차이미견통계학의의(P＞0.05).결론 심리호리간예대개선간염환자간공능,연완을형간염적발전,양환자득이회복도최호적정도실현최호적효과유착적겁적의의.
Objective To investigate the application of psychological nursing in hepatitis B patients.Methods One hundred chronic hepatitis B hospitalized patients were analyzed retrospectively,who were randomly divided into observation group and control group.Fifty cases in the observation group received psychological nursing,50 cases in the control group received routine nursing.The liver function,half-year negative rate and mentality were compared between the two groups.Results After half a year of treatment,the HBV DNA negative rate of the observation group was 80％,which was significantly higher than that of the control group (50％),there was significant difference (P ＜ 0.05).Before treatment,AST and ALT levels had no significant difference between the two groups(P ＞ 0.05),half a year after treatment,AST and ALT significantly decreased,compared with before treatment,there was significant difference (P ＜ 0.05).After treatment,there were significant differences between the groups,the observation group was significantly lower than that of the control group (P ＜ 0.05).Patients in the observation group after treatment,SAS score and SDS score were significantly lower than that before treatment,after treatment in patients with anxiety and depression levels improved significantly,the difference was statistically significant (P ＜ 0.05),the control group after treatment,SAS score and SDS score compared with before treatment had no obvious change,the difference had no significant difference (P ＞ 0.05).Conclusions Psychological nursing can improve liver function in patients with hepatitis,and delay the progression of hepatitis B,let the patients have a positive meaning to be restored to the best extent in order to achieve the best effect.
