九宫格思维模式在人工肝支持系统治疗重型肝炎中的应用效果OA
Application effect of nine-grid thinking model in the artificial liver support system for the treatment of severe hepatitis
目的 探究九宫格思维模式在人工肝支持系统(ALSS)治疗重型肝炎中的应用效果.方法 选取 2023 年1 月至 2025 年 12 月收治的重型肝炎患者 110 例.采用随机数字表法分为 2 组,每组 55 例,对照组接受常规护理,观察组在对照组基础上应用九宫格思维模式.比较 2 组凝血功能[凝血酶原活动度(PTA)]、肝功能[总胆红素(TBiL)和丙氨酸氨基转移酶(ALT)]、心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、心理弹性(CD-RISC)、睡眠质量(PSQI)及并发症发生率.结果 治疗后 7 d 和14 d 观察组PTA、CD-RISC 评分均高于对照组及治疗前,TBiL、ALT 水平、SAS 评分、SDS 评分和 PSQI 评分均低于对照组及治疗前(P 均<0.05);观察组并发症发生率低于对照组(P<0.05).结论 九宫格思维模式能够有效改善经 ALSS 治疗的重型肝炎患者的凝血功能、肝功能和睡眠质量,缓解负性情绪,提高心理弹性,降低并发症发生率.
Objective To investigate the application effect of nine-grid thinking model in the treatment of severe hepatitis using the artificial liver support system(ALSS).Methods A total of 110 patients with severe hepatitis who were admitted from January 2023 to December 2025 were selected.They were divided into two groups of 55 each using a random number table.The control group received routine nursing,while the observation group adopted the nine-grid thinking model in addition to the nursing provided to the control group.The two groups were compared in terms of coagulation function(prothrombin activity[PTA]),liver function(total bilirubin[TBiL],alanine transaminase[ALT]),psychological state(Self-Rating Anxiety Scale[SAS],Self-Rating Depression Scale[SDS]),Connor-Davidson Resilience Scale(CD-RISC),Pittsburgh Sleep Quality Index(PSQI),and the incidence of complications.Results At 7 and 14 days post-treatment,the PTA and CD-RISC scores of the observation group were higher than those of the control group and pre-treatment levels,while the levels of TBiL,ALT,SAS scores,SDS scores and PSQI scores were lower than those of the control group and pre-treatment levels(P<0.05).The incidence of complications in the observation group was lower than those in the control group(P<0.05).Conclusion The nine-grid thinking model can effectively improve the coagulation function,liver function,and sleep quality of patients with severe hepatitis undergoing ALSS,alleviate negative emotions,enhance psychological resilience,and reduce the incidence of complications.
黄娜玲;李善玲;周文华
福建医科大学附属三明第一医院,福建 三明,365000福建医科大学附属三明第一医院,福建 三明,365000福建医科大学附属三明第一医院,福建 三明,365000
医药卫生
九宫格思维模式人工肝支持系统重型肝炎肝功能
nine-grid thinking modelartificial liver support systemsevere hepatitisliver function
《中西医结合护理(中英文)》 2026 (4)
91-94,4
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