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护理干预对减轻肝移植术后精神症状的效果
引用本文:何宁宁,崔恒,黎国萍,陈璐. 护理干预对减轻肝移植术后精神症状的效果[J]. 中华现代护理杂志, 2011, 17(11): 1252-1255. DOI: 10.3760/cma.j.issn.1674-2907.2011.11.004
作者姓名:何宁宁  崔恒  黎国萍  陈璐
作者单位:1. 南京大学医学院附属鼓楼医院肝胆外科,210008
2. 南京大学医学院附属鼓楼医院护理部,210008
摘    要:目的 探讨护理干预对减轻肝移植术后精神症状的效果.方法 采用回顾性对比分析,将212例肝移植病例按时间顺序分为实验组50例和对照组162例.对照组实施常规护理,实验组在常规护理的基础上,给予科学的心理干预和音乐干预,比较两组的效果.结果 两组患者护理干预前焦虑程度差异无统计学意义(P>0.05);护理干预后实验组焦虑程度低于对照组,差异具有统计学意义(术前3 d正常情况的比较70.00%vs 44.44%,χ2=4.519,P<0.05;术后1周正常情况的比较84.00%vs60.49%,χ2=3.098,P<0.05);实验组自身前后对比,护理干预后患者焦虑程度下降,差异具有统计学意义(正常54.00%vs 84.00%,χ2=3.592,P<0.05).结论 对肝移植患者给予相应的护理干预,可降低患者焦虑程度,减少术后精神症状的发生.

关 键 词:护理干预  肝移植  精神症状

Effect of nursing intervention on alleviating patients' psychiatric symptoms after liver transplantation
HE Ning-ning,CUI Heng,LI Guo-ping,CHEN Lu. Effect of nursing intervention on alleviating patients' psychiatric symptoms after liver transplantation[J]. Modern Nursing, 2011, 17(11): 1252-1255. DOI: 10.3760/cma.j.issn.1674-2907.2011.11.004
Authors:HE Ning-ning  CUI Heng  LI Guo-ping  CHEN Lu
Affiliation:HE Ning-ning(Department of Hepatobiliary Surgery, Gulou Hospital Affiliated of Nanjing Medical University, Nanjing 210008, China) CUI Heng(Department of Hepatobiliary Surgery, Gulou Hospital Affiliated of Nanjing Medical University, Nanjing 210008, China) LI Guo-ping(Department of Hepatobiliary Surgery, Gulou Hospital Affiliated of Nanjing Medical University, Nanjing 210008, China) CHEN Lu
Abstract:Objective To investigate the effect of nursing intervention on alleviating patients'psychiatric symptoms after liver transplantation. Methods Patients who suffered from liver transplantation divided into experimental group (n = 50) and control group (n = 162 ) were studied by retrospective contrast analysis. The control group was given the normal nursing, while the experimental group, besides the normal nursing, was administered with psychological intervention and music intervention. Results There was no significant difference between both groups on the anxiety level before the intervention ( P > 0. 05 ); while there was significant difference between both groups after the intervention, the anxiety level of the experimental group was obviously lower than that of the control group ( 3 days before surgery, normal: 70.00% vs 44.44%, χ2 =4.519, P < 0. 05; one week after oporation, normal: 84.00% vs 60.49 %, χ2 = 3. 098, P < 0. 05 ); the anxiety level of the experimental group after the intervention was decreased, compared with that before the intervention ( normal :54.00% vs 84.00%, χ2 = 3. 592, P < 0. 05 ). Conclusions Nursing intervention on patients after liver transplantation could decrease their anxiety and reduce the occurrence of their psychiatric symptoms.
Keywords:Nursing intervention  Liver transplantation  Psychiatric symptoms
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