CAJ | 학술논문

目的：探讨中医辨证施护在重型肝炎患者治疗中的应用效果。方法将100例重症肝炎患者按照数字表法随机分为对照组和观察组各50例。对照组给予常规护理,观察组在常规护理基础给予中医辨证施护。3周后观察2组患者的治疗效果。采用汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(H AMD)调查2组患者在护理前后的心理状况。问卷调查2组患者的护理满意度。结果观察组的治疗效果显著好于对照组(Z=-2.653,P<0.01)；观察组的 HAMA 和HAMD评分显著低于对照组(t=7.413,P<0.01；t=15.667,P<0.01)；观察组的护理满意度显著高于对照组(Z=-4.152,P<0.01)。结论中医辨证施护能明显促进重型肝炎患者的康复,提高患者的护理满意度。
목적：탐토중의변증시호재중형간염환자치료중적응용효과。방법장100례중증간염환자안조수자표법수궤분위대조조화관찰조각50례。대조조급여상규호리,관찰조재상규호리기출급여중의변증시호。3주후관찰2조환자적치료효과。채용한밀이돈초필량표(HAMA)화한밀이돈억욱량표(H AMD)조사2조환자재호리전후적심리상황。문권조사2조환자적호리만의도。결과관찰조적치료효과현저호우대조조(Z=-2.653,P<0.01)；관찰조적 HAMA 화HAMD평분현저저우대조조(t=7.413,P<0.01；t=15.667,P<0.01)；관찰조적호리만의도현저고우대조조(Z=-4.152,P<0.01)。결론중의변증시호능명현촉진중형간염환자적강복,제고환자적호리만의도。
Objective To study the effects of dialectical care in patients with severe hepatitis. Methods A hundred patients with severe hepatitis were randomly divided into observation group (n=50)and control group (n=50)according to number table method.The control group was given conventional nursing,and the observation group was given dialectical care at the base of the control group.The treating effects of two groups were observed at 3 weeks after nursing.The psychological changes of the two groups before and after nursing were compared by using Hamilton anxiety scale (HAMA)and Hamilton depression scale (HAMD).The satisfaction of patients in the two groups was taken by questionnaire investigation.Results The treatment effect in the observation group was significantly better than that in the control group(Z=-2.653,P<0.01).The HAMA and HAMD scores in the observation group was significantly lower than that in the control group (t=7.413,P<0.01,t=15.667,P<0.01).The satisfaction of patients in the observation group was significantly higher than that in the control group (Z=-4.152,P<0.01).Conclusion Dialectical care can promote the rehabilitation of patients with severe hepatitis and improve nursing satisfaction of patients.