心理护理干预对肝硬化患者遵医依从性和生活质量的影响

王小萍

（陕西省核工业二一五医院，陕西 咸阳，712000）

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摘要：

目的 探讨心理护理干预对肝硬化患者遵医依从性和生活质量的影响。方法 选择我院2013 年9 月至2016 年9 月收治 的肝硬化患者558 例为研究对象，将患者随机分为观察组与对照组，每组279 例。对照组给予常规护理，观察组在常规护理 的基础上给予心理护理干预，比较两组患者的护理效果。结果 干预后，两组患者的QOL 评分均升高，且观察组为（55.58±3.67）分，高于对照组的（42.13±3.65）分，差异具有统计学意义（P<0.05）。观察组患者的治疗依存率为100.00%（279/279），高于 对照组患者的80.65%（225/279），差异具有统计学意义（P<0.05）。结论 心理护理干预可有效提高肝硬化患者的服药依存性与 生活质量，降低并发症发生率，值得临床推广应用。

关键词：心理护理；肝硬化；依从性；生活质量

中图分类号：R473.5文献标志码：A文章编号：2096-1413(2018)01-0149-02

Effect of psychological nursing intervention on compliance and quality of life in patients with cirrhosis
WANG Xiao-ping
（No.215 Hospital of Shaanxi Nuclear Industry, Xianyang 712000, China）

ABSTRACT: Objective To investigate the effect of psychological nursing intervention on compliance and quality of life in patients with cirrhosis. Methods A total of 558 patients with cirrhosis who admitted to our hospital from September 2013 to September 2016 were selected as the study subjects, and randomly divided into observation group and control group, with 279 cases in each group. The control group was given routine nursing, while the observation group was given psychological nursing intervention on the basis of the routine nursing. The nursing effects of the two groups were compared. Results After treatment, the scores of QOL in the two groups increased, the QOL score in the observation group was (55.58±3.67), which was higher than (42.13±3.65) of the control group (P<0.05). The compliance rate of treatment was 100.00% (279/279) in the observation group, which was higher than 80.65% (225/279) in the control group (P<0.05), the difference between the two groups was statistically significant (P<0.05). Conclusion Psychological nursing intervention can effectively improve the compliance rate of treatment and the quality of life in patients with cirrhosis, reduce the incidence of complications, which is worthy of promotion and application.

KEYWORDS: psychological nursing; cirrhosis; compliance; quality of life

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