个性化心理护理对慢性重型肝炎患者肝功能的影响

摘要

目的 探讨个性化护理对慢性重型肝炎患者肝功能的影响.方法 将100例慢性重型肝炎患者随机分为2组,对照组50例予慢性重症肝炎一般护理,护理组50例在对照组基础上予个性化心理护理.2组均4周为1个疗程,4个疗程后采用汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评价2组患者护理前后心理变化情况.检测2组护理前后肝功能指标[包括丙氨酸氨基转移酶(ALT)、总胆红素(TBiL)、白蛋白(Alb)及凝血酶原活动度(PTA)]变化情况.结果 护理组护理后HAMA及HAMD评分与本组护理前及对照组护理后比较均明显下降(P＜0.05).2组护理后肝功能各项指标与护理前比较均明显改善(P＜0.05),且护理组改善优于对照组(P＜0.05).结论 对慢性重症肝炎患者进行个性化心理护理能明显改善患者肝功能,值得推广应用.%Objective To investigate individual psychological care on liver function of patients with chronic severe hepatitis. Methods 100 patients with chronic severe hepatitis were randomly divided into 2 groups. SO patients in control group received general care. 50 patients in the care group received individual psychological care on the basis of general care. Psychological changes of patient in two groups were evaluated with Hamilton Anxiety Scale ( HAMA) and Hamilton Depression Rating Scale (HAMD) before and after case. Changes of liver function including alanine aminotransferase (ALT), total bilirubin (TBiL) , albumin (Alb) and prothrombin activity (PTA) were detected before and after treatment. Results HAMD and HAMA score after care in care group were significantly decreased in contrasted with those before in this group and after care in the control group ( P <0.05). The indexes of liver function after the treatment and care were significantly improved in two groups ( P < 0.05 ) , and improvement in care group was better than that in the control group ( P <0.05). Conclusion Individual psychological care can improve liver function of patients with chronic severe hepatitis, and is worthy of clinical application.