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目的探讨个性化护理对行人工肝血浆置换术治疗重型肝炎患者焦虑抑郁情绪的影响。方法 50例行人工肝血浆置换术治疗重型肝炎患者,随机分为实验组和对照组,每组25例。两组患者均进行人工肝血浆置换术治疗,对照组给予常规护理,实验组则在对照组基础上给予个性化护理。比较两组护理效果。结果实验组患者护理后总依从性为92%,明显高于对照组的68%,差异具有统计学意义(P<0.05)。护理前两组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分比较差异无统计学意义(P>0.05);护理后两组HAMA、HAMD评分均较护理前明显降低,且实验组低于对照组,差异具有统计学意义(P<0.05)。结论个性化护理对行人工肝血浆置换术治疗重型肝炎患者焦虑抑郁情绪的影响有着积极的作用,并且可提高患者的治疗依从性,值得临床上推广应用。
Objective To explore the effect of personalized nursing on the anxiety and depression in patients with severe hepatitis treated with artificial liver exchange. Methods Fifty patients undergoing artificial liver replacement therapy for severe hepatitis were randomly divided into experimental group and control group, with 25 cases in each group. Two groups of patients were treated with artificial liver plasmapheresis, the control group given routine care, the experimental group was given on the basis of the control group of personalized care. Compare the two groups of nursing effects. Results The total compliance of patients in experimental group was 92% after the nursing, which was significantly higher than that of the control group (68%), the difference was statistically significant (P <0.05). There was no significant difference in Hamilton HAMA and HAMD scores between the two groups before nursing (P> 0.05). HAMA and HAMD scores in both groups were significantly lower than those before treatment Lower than the control group, the difference was statistically significant (P <0.05). Conclusion Personalized nursing has a positive effect on the anxiety and depression in patients with severe hepatitis treated by artificial liver exchange and can improve the treatment compliance of patients with severe hepatitis. It is worth to be popularized and applied clinically.