eq-5d量表在失代偿肝硬化患者心理干预中的应用.docVIP

精品论文 参考文献 EQ-5D量表在失代偿肝硬化患者心理干预中的应用 宋照云 　　（徐州市传染病院 江苏 徐州 221004） 　　【摘要】 目的：了解EQ-5D量表在失代偿肝硬化患者心理干预中的应用价值及临床意义。方法：对住院的失代偿肝硬化102例患者入院时进行EQ-5D评分，根据评分结果，采取针对性的心理干预措施，患者出院前再次进行EQ-5D评分，通过心理干预前后EQ-5D评分对比分析，评价EQ-5D量表在失代偿肝硬化患者心理干预测定中的应用价值。结果：心理干预前后EQ-5D VAS评分差值明显，Plt;0.01，且有无并发症对EQ-5D VAS评分有影响,Plt;0.01；出入院EQ-5D VAS评分差值ge;0.2有84例，lt;0.2有8例，有效率91.17%。结论：EQ-5D量表在失代偿肝硬化患者心理干预中具有重要的应用价值。 　　【关键词】EQ-5D;失代偿肝硬化；生存质量 　　【中图分类号】R471 【文献标识码】A 【文章编号】2095-1752（2015）30-0032-03 　　 EQ - 5 d scale application of psychological intervention in patients with decompensated liver cirrhosis 　　Song Zhaoyun. Xuzhou infectious disease hospital, Jiangsu province, Xuzhou221004,China 　　【Abstract】 Objective Understand EQ - 5 d scale in patients with decompensated cirrhosis application value and clinical significance of psychological intervention. Methods Of 102 patients with decompensated liver cirrhosis in hospital EQ - 5 d grade on admission, according to the results of the grading specific psychological intervention measures, patients discharged from hospital again before EQ - 5 d score, by psychological intervention before and after the EQ - 5 d score comparison and analysis, evaluation of EQ - 5 d scale in patients with decompensated cirrhosis of the liver in the determination of psychological intervention application value. Results EQ - 5 d before and after psychological intervention VAS score difference significantly, P lt; 0.01, and presence of complications have an impact on EQ - 5 d VAS score, P lt; 0.01; ChuRuYuan EQ - 5 d VAS score difference in 84 patients, acuity 0.2 lt; 0.2 in 8 cases, effective rate was 91.17%. Conclusions EQ - 5 d scale of psychological intervention in patients with decompensated liver cirrhosis has important application value. 　　【Key words】 EQ - 5 d; Decompensated liver cirrhosis; Quality of life 　　生存质量是对由个人或群体所感受到躯体、心理、社会各方面良好适应状态的一种综合测量， 以往国内对生命质量的研究，较多采用简明健康生活调查表（SF-36）评价生存质量。应用EQ-5D量表评价生存质量的研究与国外相比严重不足[1]，而用此评价失代偿肝硬化患者生存质量的研究报道更