以循证为导向的预见性干预方案对轻微型肝性脑病患者肝功能以及情感状况的影响

发布时间：2018-09-10 17:38

【摘要】：目的探究以循证为导向的预见性干预方案对轻微型肝性脑病患者肝功能以及情感状况的影响。方法将86例轻微肝性脑病患者随机分为研究组和对照组各43例。其中对照组开展传统的护理照护,研究组则在对照组基础上引入以循证为导向的预见性干预策略。记录2组患者在干预前及干预后第4周末的完成数字连接试验A型(Number Connection Test-A,NCT-A)所需时间以及静脉血氨、谷草转氨酶(AST)、谷丙转氨酶(ALT)水平;比较2组干预前及干预4周末的SAS和SDS评分。结果 2组干预前的各项肝功能相关指标差异均无统计学意义(P均0.05);干预后,研究组NCT-A及静脉血氨水平均显著低于对照组(P均0.05),而2组间的AST和ALT水平比较差异无统计学意义(P均0.05)。2组干预前的SAS和SDS评分比较差异无统计学意义(P均0.05);干预后研究组SAS和SDS评分均明显低于对照组(P均0.05)。结论对于轻微型肝性脑病患者,引入以循证为导向的预见性干预方案有助于改善患者的肝功能,且能疏泄其焦虑、抑郁情绪,取得较为可观的临床效益。
[Abstract]:Objective to explore the effect of evidence-based predictive intervention on liver function and emotional status in patients with mild hepatic encephalopathy. Methods 86 patients with mild hepatic encephalopathy were randomly divided into study group (n = 43) and control group (n = 43). The control group carried out traditional nursing care, while the study group introduced evidence-based predictive intervention strategy on the basis of the control group. The time required to complete type A (Number Connection Test-A,NCT-A before and after intervention and the levels of blood ammonia and (AST), (ALT) were recorded in the two groups. The SAS and SDS scores before and after intervention were compared between the two groups. Results there was no significant difference in the indexes of liver function between the two groups before and after intervention (P 0.05). The levels of AST and ALT in the study group were significantly lower than those in the control group (P 0.05), but there was no significant difference in the SAS and SDS scores between the two groups before intervention (P 0.05), and there was no significant difference in the SAS and SDS scores between the two groups before intervention (P 0.05). The scores of SAS and SDS in the study group were significantly lower than those in the control group (P < 0. 05). Conclusion for the patients with mild hepatic encephalopathy, the introduction of evidence-based predictive intervention can improve the liver function of the patients, relieve their anxiety and depression, and obtain considerable clinical benefits.
【作者单位】：江苏省无锡市第五人民医院;
【基金】：南京医科大学科技发展基金项目(2013NJMU197)
【分类号】：R473.5

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