摘要
目的 分析人文关怀干预结合基于奥马哈系统的延续护理在布加综合征患者中的应用价值。方法 选取徐州医科大学附属医院于2021年6月至2023年6月收治的94例布加综合征患者开展前瞻性对照研究,使用抽签法将其分别纳入观察组和对照组,各47例。2组均接受常规护理和人文关怀干预,观察组加用基于奥马哈系统的延续护理,比较2组的干预效果。结果 出院6个月后,观察组的广泛性焦虑障碍量表、健康问卷抑郁症状群量表评分均较对照组更低,Herth希望量表评分较对照组更高,丙氨酸转氨酶、天冬氨酸转氨酶和总胆红素水平均较对照组更低,凝血酶原时间较对照组延长(P均<0.05),且2组均优于出院时(P均<0.05)。观察组在出院6个月内的支架通畅率较对照组更高,出血发生率较对照组更低(P均<0.05)。结论 人文关怀干预结合基于奥马哈系统的延续护理能够减轻布加综合征患者出院后的焦虑、抑郁情绪,提升其希望水平,改善其肝功能和凝血功能,且对保障支架通畅、预防出血事件有益。
Objective To analyze the application value of humanistic care intervention combined with continuing care based on the Omaha system in patients with Budd-Chiari syndrome.Methods A prospective controlled study was conducted on 94 patients with Budd-Chiari syndrome admitted to the Affiliated Hospital of Xuzhou Medical University from June 2021 to June 2023.They were randomly divided into an observation group and a control group by drawing lots,with 47 patients in each group.Both groups received routine nursing and humanistic care intervention,while the observation group was added with continuing care based on the Omaha system.The intervention effects of the two groups were compared.Results At 6 months after discharge,the scores of the 7-item Generalized Anxiety Disorder Scale and 9-item Patient Health Questionnaire in the observation group were lower than those in the control group.The Herth Hope Scale score in the observation group was higher than that in the control group,and the levels of alanine transaminase,aspartate transaminase,and total bilirubin in the observation group were lower than those in the control group.The prothrombin time of the observation group was longer than that of the control group(P<0.05),and the above indicators of the two groups were better than those at discharge(P<0.05).The observation group had a higher stent patency rate and a lower incidence of bleeding within 6 months after discharge compared to the control group(P<0.05).Conclusion Humanistic care intervention combined with continuing care based on the Omaha System can alleviate the anxiety and depression of patients with Budd-Chiari syndrome after discharge,improve their hope level,enhance their liver function and coagulation function,and is beneficial to ensure stent patency and prevent bleeding events.
作者
聂双
王亚楠
胡新红
戚明雪
项葆
NIE Shuang;WANG Yanan;HU Xinhong;QI Mingxue;XIANG Bao(The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)
出处
《中西医结合护理(中英文)》
2025年第5期109-112,共4页
Journal of Clinical Nursing in Practice
关键词
布加综合征
人文关怀
奥马哈系统
延续护理
肝功能
Budd-Chiari syndrome
humanistic care
Omaha system
continuing care
liver function
