中国肝脏病杂志（电子版）
中國肝髒病雜誌（電子版）
중국간장병잡지（전자판）
CHINESE JOURNAL OF LIVER DISEASES(ELECTRONIC VERSION)
2015年
1期
83-85
,共3页
酒精性肝病%酒精戒断综合征%护理干预
酒精性肝病%酒精戒斷綜閤徵%護理榦預
주정성간병%주정계단종합정%호리간예
Alcoholic liver disease%Alcohol withdrawal syndrome%Nursing intervention
目的：探讨酒精性肝病合并戒断综合征患者的心理状况及护理干预方法。方法采用症状自评量表（SCL-90）、焦虑自评量表（SAS）和抑郁自评量表（SDS）对50例慢性重症肝炎患者进行测评，对心理问题突出者给予相应的护理干预，干预后再次进行评定，将干预前的测评结果分别同全国常模、护理干预后的测评结果进行比较。结果酒精性肝病合并戒断综合征患者干预前SCL-90、SAS、SDS得分均高于全国常模，差异有显著统计学意义（P＜0.01）；干预前后得分比较，差异有显著统计学意义（P＜0.01）。患者出院时健康知识知晓率显著优于入院时（P＜0.05）。结论采取积极有效的临床护理干预措施，能使戒断综合征患者克服负性心理情绪反应，有效改善心理状况，提高治疗依从性，促进症状好转和疾病康复。
目的：探討酒精性肝病閤併戒斷綜閤徵患者的心理狀況及護理榦預方法。方法採用癥狀自評量錶（SCL-90）、焦慮自評量錶（SAS）和抑鬱自評量錶（SDS）對50例慢性重癥肝炎患者進行測評，對心理問題突齣者給予相應的護理榦預，榦預後再次進行評定，將榦預前的測評結果分彆同全國常模、護理榦預後的測評結果進行比較。結果酒精性肝病閤併戒斷綜閤徵患者榦預前SCL-90、SAS、SDS得分均高于全國常模，差異有顯著統計學意義（P＜0.01）；榦預前後得分比較，差異有顯著統計學意義（P＜0.01）。患者齣院時健康知識知曉率顯著優于入院時（P＜0.05）。結論採取積極有效的臨床護理榦預措施，能使戒斷綜閤徵患者剋服負性心理情緒反應，有效改善心理狀況，提高治療依從性，促進癥狀好轉和疾病康複。
목적：탐토주정성간병합병계단종합정환자적심리상황급호리간예방법。방법채용증상자평량표（SCL-90）、초필자평량표（SAS）화억욱자평량표（SDS）대50례만성중증간염환자진행측평，대심리문제돌출자급여상응적호리간예，간예후재차진행평정，장간예전적측평결과분별동전국상모、호리간예후적측평결과진행비교。결과주정성간병합병계단종합정환자간예전SCL-90、SAS、SDS득분균고우전국상모，차이유현저통계학의의（P＜0.01）；간예전후득분비교，차이유현저통계학의의（P＜0.01）。환자출원시건강지식지효솔현저우우입원시（P＜0.05）。결론채취적겁유효적림상호리간예조시，능사계단종합정환자극복부성심리정서반응，유효개선심리상황，제고치료의종성，촉진증상호전화질병강복。
Objective To investigate the psychological condition and nursing intervention methods in patients with alcoholic liver disease combined withdrawal syndrome.Methods We use the self-assessment lists of symptom scale (SCL-90), anxiety self-assessment (SAS) and depression self rating scale (SDS) in 50 patients with chronic severe hepatitis is evaluated, the country give corresponding nursing intervention for psychological problems, assess again after intervention, the assessment result of intervention before separately with the national norm, the evaluation results after nursing intervention.Results Alcoholic liver disease combined withdrawal syndrome patient intervention before the SCL-90, SAS and SDS scores were higher than the national norm, with very significant difference (P< 0.01). Score comparison difference before and after the intervention has very signiifcant (P< 0.01). Aware of knowledge about patients’ health at discharge was signiifcantly better than on admission (P< 0.05).Conclusions Take positive and effective clinical nursing interventions that can make withdrawal syndrome patients overcome negative psychological emotional response, effectively improve the psychological condition, improve the treatment compliance, promote symptom improvement and rehabilitation of disease.
