CAJ | 학술논문

目的：观察健康教育及综合护理干预在人工肝血浆置换术中的应用效果。方法将2013年4月~2015年4月青海省第四人民医院收治的80例重型肝炎行人工肝血浆置换术的患者按随机数字表法分为观察组和对照组，每组40例。两组均采用内科和人工肝血浆置换术治疗，对照组进行常规护理，观察组在此基础上进行针对性的个性化健康教育及护理干预。两组均治疗2个月，对比两组的治疗效果、心理健康状况、术后并发症和满意度。结果观察组治愈率(27.5%)、好转率(57.5%)显著高于对照组(12.5%、27.5%)，差异有统计学意义(P<0.05)；观察组的自动出院率(5.0%)、死亡率(10.0%)显著低于对照组(22.5%、37.5%)，差异有统计学意义(P<0.05)。两组治疗前心理健康状况各项评分均显著高于中国常模(P<0.01)；观察组治疗后心理健康状况各项评分显著低于治疗前(P<0.01)，表明其心理健康明显改善；与对照组治疗后比较，差异有统计学意义(P<0.05)。对照组治疗后心理健康状况各项评分与治疗前比较，差异无统计学意义(P>0.05)。观察组各种并发症发生率均显著低于对照组(P<0.05)。观察组满意率(87.5%)显著高于对照组(60.0%)，差异有统计学意义(P<0.05)。结论针对性的健康教育及护理干预可以提高人工肝血浆置换术的治疗效果，改善心理健康状况，降低并发症发生率以及提高患者的满意度，值得推广应用。
목적：관찰건강교육급종합호리간예재인공간혈장치환술중적응용효과。방법장2013년4월~2015년4월청해성제사인민의원수치적80례중형간염행인공간혈장치환술적환자안수궤수자표법분위관찰조화대조조，매조40례。량조균채용내과화인공간혈장치환술치료，대조조진행상규호리，관찰조재차기출상진행침대성적개성화건강교육급호리간예。량조균치료2개월，대비량조적치료효과、심리건강상황、술후병발증화만의도。결과관찰조치유솔(27.5%)、호전솔(57.5%)현저고우대조조(12.5%、27.5%)，차이유통계학의의(P<0.05)；관찰조적자동출원솔(5.0%)、사망솔(10.0%)현저저우대조조(22.5%、37.5%)，차이유통계학의의(P<0.05)。량조치료전심리건강상황각항평분균현저고우중국상모(P<0.01)；관찰조치료후심리건강상황각항평분현저저우치료전(P<0.01)，표명기심리건강명현개선；여대조조치료후비교，차이유통계학의의(P<0.05)。대조조치료후심리건강상황각항평분여치료전비교，차이무통계학의의(P>0.05)。관찰조각충병발증발생솔균현저저우대조조(P<0.05)。관찰조만의솔(87.5%)현저고우대조조(60.0%)，차이유통계학의의(P<0.05)。결론침대성적건강교육급호리간예가이제고인공간혈장치환술적치료효과，개선심리건강상황，강저병발증발생솔이급제고환자적만의도，치득추엄응용。
Objective To observe the appucation effect of the health education and nursing intervention for artificial liver blood plasma replacement. Methods From April 2013 to April 2015, 80 cases of severe hepatitis patients in the 4th People's Hospital of Qinghai Province need artificial liver blood plasma exchange were randomly divided into ob-servation group and control group by random number table, with 40 cases in each group. Two groups were all given medicine and artificial liver blood plasma replacement treatment. Control group was treated by routine nursing care and observation group was given pertinence of individualized health education and nursing intervention based on the control group. The artificial liver treatment effect, mental health, postoperative complications, and satisfaction after treatment for 2 months of the two groups were observed. Results The cure rate (27.5%) and improvement rate (57.5%) in the ob-servation group were significantly higher than those of the control group (12.5%, 27.5%), with statistically significant differences (P<0.05). The automatic discharge rate (5.0%), mortality rate (10.0%) in the observation group were signif-icantly lower than those of the control group (22.5%, 37.5%), with statistically significant differences (P<0.05). Mental health status scores of the two groups before treatment were significantly higher than Chinese norm (P< 0.01). Mental health status scores of the observation group after treatment were significantly lower than before treatment (P< 0.01), showed that the mental health obviously improved; compared with the control group after treatment had significant dif-ferences (P< 0.05). Compared with before treatment, mental health status scores of the control group after treatment had no significant difference (P> 0.05). The incidence of the complications in the observation group was significantly lower than the control group (P< 0.05). Patients satisfaction in the observation group (87.5%) was significantly higher than the control group (60.0%), with statistically significant difference (P< 0.05). Conclusion Targeted health educa-tion and nursing intervention can improve the therapeutic effect of artificial liver blood plasma replacement, improve the mental health status, reduce the incidence of complications and improve patients' satisfaction. It is worthy of popu-larization and application.