肝硬化急性上消化道出血患者给予心理护理的方法和效果

目的：观察心理护理干预对肝硬化急性上消化道出血患者的效果。方法：选取本院2010年1月-2013年3月所收治的120例肝硬化急性上消化道出血患者作为临床研究对象，按照随机数字表法将其分为观察组和对照组各60例，两组患者均采取常规治疗和常规护理，观察组在此基础上加用心理护理进行干预，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）在干预前后对两组患者进行评价。结果：两组患者在干预前SAS和SDS量表的评分差异均无统计学意义（P〉0．05），但经过护理干预后，只有观察组患者SAS和SDS评分较干预前明显降低，差异均有统计学意义（P〈0．05）。同时在干预后，观察组SAS和SDS评分均明显低于对照组，差异均有统计学意义（P〈0．05）。结论：心理护理能显著改善肝硬化急性上消化道出血患者的心理健康程度，有利于疾病的康复和治疗费用的降低，因此值得在今后临床工作中推广应用。

The Methods and Effect of Psychological Nursing on Patients with Cirrhosis and Acute Upper Gastrointestinal Hemorrhage

Objective： To observe the effect of psychological nursing intervention on cirrhosis and acute upper gastrointestinal hemorrhage. Method： One hundred and twenty patients with cirrhosis and acute upper gastrointestinal hemorrhage who had been treated in our hospital from January 2010 to March 2013 were selected as research objects.They were divided into the observation group and the control group, 60 cases in each group.The two groups were given conventional treatment and routine nursing.The observation group was given psychological nursing intervention on the basis of to the control group.SAS and SDS of patients in the two groups were evaluated before and after the intervention.Result： The variation in scores of SAS and SDS before the intervention had no statistical significance （ P〉0.05 ） .But after nursing intervention, only SAS and SDS score of patients were decreased compared with before intervention, the differences were statistically significant （P〈0.05） .Moreover, scores of SAS and SDS in observation group were lower than the control group, the differences were statistically significant （P〈0.05） .Conclusion： Psychological nursing can improve the psychological health degree of patienis who have cirrhosis and acute upper gastrointestinal hemorrhage, and it is good for recovery and saving cost.It is worthy of application and promotion in clinic.