“多因素一干预模式”对肝硬化难治性腹水患者睡眠质量的影响

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Impacts of the Multifactorial Intervention Mode on Sleep Quality inPatientswith RefractorySscitesDuetoLiver Cirrhosis

DONG Fengliang，GUO Liyun

（TheFirst Affiliated Hospital of Xiamen University，Xiamen 36loo3，China）

AbstractObjective：Toexploretheefectsof themultifactorialinterventionmodeonsleepqualityinpatientswithrefractoryascitescausedbycirhosis.Methods：Atotalof96patientswithrefractoryascitesduetolivercirrhosisadmittedtotheDepartment ofGastroenterologyoftheFirstAflatedHospitalofXiamen UniversityfromOctober2O21toOctober2O23wereselectedasthe studysubjects.Theywererandomlydividedintoacontrol groupandanobservationgroupusingarandom numbertablemethod， with48patientsineachgroup.Thecontrolgroupreceivedroutinenursing intervention，whiletheobservationgroupreceivedmultifactor intervention mode intervention.The Pitsburgh Slee QualityIndex（PSQI）was used tocompare sleepquality betweentwo groups beforeandafterintervention，andthe Anxietyand Depresion Scale（HADS）wasusedtoevaluateandcomparethedegree of improvementinpsychologicalstatus betweenthe twogroupsbeforeandafterintervention.Results：Afterintervention，thePSQI scores and HADSscoresof theobservation group weresignificantlylowerthan thoseofthecontrolgroup，andthediferencesbetween the two groups were statistically significant（ P<0.05 ）. Conclusion：Patients with refractory ascites due to cirrhosis can receive a multi factor nursing intervention to alleviate their negative emotions and improve their sleep quality.

KeywordsLiver cirhosis；Refractory ascites；Multifactor intervention mode； Sleepquality；Anxiety；Liverdisease；Nursing中图分类号： R657.3+1 ;R338.63 文献标识码：A doi：10.3969/j. issn.2095 -7130.2025.02.036

肝硬化难治性腹水是肝硬化晚期常见并发症之一，现阶段往往应用常规腹水治疗方法进行治疗，但效果并不理想，甚至还会引起并发症，患者容易出现失望、恐惧、焦虑等负性情绪，影响睡眠质量。（剩余5114字）