国际医药卫生导报2025，Vol.31Issue(12)：2103-2108,6.DOI:10.3760/cma.j.cn441417-20241127-12034
舒适护理联合正念疗法对肝硬化患者肝功能及心理状态的影响
The impact of comfort care combined with mindfulness-based stress reduction therapy on liver function and psychological state in patients with liver cirrhosis
摘要
Abstract
Objective To investigate the effects of comfortable care combined with mindfulness-based stress reduction therapy on liver function and psychological state in patients with liver cirrhosis.Methods A retrospective study included 112 patients with liver cirrhosis admitted to Shaanxi Provincial Nuclear Industry 215 Hospital from April 2020 to April 2023 were divided into a control group(55 cases)and an intervention group(57 cases)based on different nursing approaches.There were 28 males and 27 females in the control group;they were(55.21±14.32)years old;the course of disease was(11.21±3.66)years;the body mass index(BMI)was(23.51±3.01)kg/m2.There were 29 males and 28 females in the control group;they were(54.27±15.88)years old;the course of disease was(10.47±4.39)years;the BMI was(23.58±3.45)kg/m2.The control group received routine nursing interventions,while the intervention group received comfortable care combined with mindfulness-based stress reduction therapy.Both groups received continuous care for 4 weeks.The scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS),the levels of alanine aminotransferase(ALT)and aspartate aminotransferase(AST),SF-36 quality of life scores,treatment compliance scores,and nursing satisfaction were compared between the two groups.Statistical analysis was performed using t tests and x2 tests.Results After nursing care,the SAS and SDS scores in the intervention group were significantly lower than those in the control group[(23.12±9.58)ponits vs.(32.58±11.69)ponits and(31.52±12.03)ponits vs.(42.36±10.44)ponits,with statistically significant differences(t=4.167 and 6.871,both P＜0.05);the levels of ALT and AST in the intervention group were lower than those in the control group[(32.55±13.88)IU/L vs.(58.31±21.06)IU/L and(35.81±12.03)IU/L vs.(59.22±23.69)IU/L](t=4.874 and 5.171,both P＜0.05);the quality of life score in the intervention group was higher than that in the control group[(78.69±11.33)ponits vs.(67.39±12.36)ponits(t=4.165,P=0.003)].Treatment adherence was also significantly higher in the intervention group compared to the control group(P＜0.05).The overall nursing satisfaction in the intervention group was significantly higher than that in the control group[96.5％(55/57)vs.81.8％(45/55)],with a statistically significant difference(x2=5.314,P=0.009).Finally,the multiple regression analysis showed that patients receiving comfortable care combined with mindfulness-based stress reduction therapy had a significantly lower ALT level(t=-3.88,P=0.001),a lower SAS score(t=-3.78,P=0.001),higher quality of life score(t=3.95,P=0.001),and higher nursing satisfaction(t=3.36,P=0.001).The VIF value was 1.15,indicating no serious multicollinearity issues.Conclusion Comfortable care combined with mindfulness-based stress reduction therapy has a significant effect in reducing negative emotions,promoting liver function recovery,improving quality of life,enhancing treatment adherence,and increasing nursing satisfaction in patients with liver cirrhosis.关键词
肝硬化/舒适护理/正念减压疗法/肝功能/心理状态/护理满意度Key words
Liver cirrhosis/Comfort care/Mindfulness-based stress reduction therapy/Liver function/Psychological State/Nursing satisfaction引用本文复制引用
刘婷,柴晓雲,黄娜..舒适护理联合正念疗法对肝硬化患者肝功能及心理状态的影响[J].国际医药卫生导报,2025,31(12):2103-2108,6.基金项目
国家自然科学基金青年项目(30901268) National Natural Science Foundation for Young Scholars(30901268) （30901268）
