Effects of comfort and behavioral cognitive nursing on negative emotions, comfort and sleep qualityin patients undergoing artificial liver therapy
舒适及行为认知护理对行人工肝治疗患者负性情绪、舒适度、睡眠质量的影响分析

摘要

目的 对于行人工肝治疗患者的护理作出分析，探讨应用舒适及行为认知护理对患者负性情绪、舒适度及睡眠质量的影响效果。方法 根据本院收治的行人工肝治疗的患者，抽选2022-02至2023-05期间的90例患者进行分组研究，采取电脑双盲法分配，45例患者实施常规护理（常规组），另外45例患者应用舒适及行为认知护理（观察组），对比观察2组患者负性情绪（SAS、SDS）、舒适度及睡眠质量情况。结果 护理前2组患者的负性情绪评分相比，没有显著差异，（p＞0.05），经过护理后评估，观察组患者负性情绪（SAS、SDS）评分均显著优于常规组，（p＜0.05）；相比2组患者护理后的舒适度（环境、生理、心理及社会文化）评分，观察组四项得分要比常规组患者明显较高，（p＜0.05）；2组患者在护理前的睡眠质量评分相比无明显差异，（p＞0.05），在护理后相比有所好转，观察组睡眠质量SRSS评分显著低于对照组，（p＜0.05）。结论 对于人工肝治疗的患者，临床应用舒适及行为认知护理的效果良好，可有效改善患者的负性情绪，提升其舒适度与睡眠质量，值得推广。

Abstract

Objective To analyze the nursing of patients undergoing artificial liver therapy, and explore the effects of comfort and behavioral cognitive nursing on patients' negative emotions, comfort and sleep quality.
Methods According to the patients receiving artificial liver treatment in our hospital, 90 patients were selected from 2022-02 to 2023-05 for grouping study, and were assigned by computer double-blind method. 45 patients received routine nursing (routine group), and 45 patients received comfort and behavioral cognitive nursing (observation group). Negative emotion (SAS, SDS), comfort level and sleep quality of the two groups were compared and observed.
Results There was no significant difference in the negative emotion scores between the two groups before nursing (p > 0.05). After nursing evaluation, the negative emotion scores (SAS, SDS) in the observation group were significantly better than those in the conventional group (p < 0.05). Compared with the comfort scores (environmental, physiological, psychological and sociocultural) of the two groups after nursing, the four scores of the observation group were significantly higher than those of the conventional group (p < 0.05). There was no significant difference in sleep quality score between the two groups before nursing (p > 0.05), but improved after nursing. SRSS score of sleep quality in the observation group was significantly lower than that in the control group (p < 0.05).
Conclusion   For patients treated with artificial liver, clinical comfort and behavioral cognitive nursing have good effects, which can effectively improve patients' negative emotions, improve their comfort and sleep quality, and is worth promoting.