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目的：探讨心理护理对急性肝炎合并上消化道大出血患者焦虑程度、满意度及康复效果的影响。方法：将60 例急性肝炎合并上消化道大出血患者随机分为对照组（30 例）和观察组（30 例），对照组按常规护理，观察组在常规护理基础上加用心理护理，两组患者临床抢救方法与用药情况基本一致，分析比较两组患者治疗前后焦虑程度、满意度及康复效果的差异。结果：与对照组相比，观察组患者整体的焦虑度明显低于对照组（P<0.05），对护理满意度高于对照组（P<0.05）。观察组患者临床康复时间略短于对照组（P≥0.05），但观察组患者的康复效果满意度明显好于对照组（P<0.05）。结论：心理护理可明显减轻急性肝炎合并上消化道大出血患者焦虑程度，提高了患者对护理的整体满意度及康复效果的满意度，值得广泛使用。

英文摘要:

Objective: To explore the effect of psychological nursing on anxiety, satisfaction and recovery of patients with acute hepatitis and massive hemorrhage of upper gastrointestinal tract. Methods: 60 cases of acute hepatitis with massive hemorrhage of upper gastrointestinal tract were randomly divided into the control group (30 cases) and the observation group (30 cases). The control group received the conventional care, and the observation group were treated with psychological care based on conventional care. Compare and analyze the difference in anxiety, satisfaction and rehabilitation effect in two groups before and after treatment. Results: Compared with the control, the observation group showed an overall lower level of anxiety but a higher satisfaction degree to nursing than the control group (both P < 0.05). The observation group also had a little shorter clinical recovery time than the control group (P ≥0.05) (P < 0.05). Patients in observation group were also more satisfied with the recover effect than the control group. Conclusion: Psychological care can significantly reduce the anxiety level of patients with acute hepatitis plus massive hemorrhage of upper gastrointestinal tract, and improve the patients' overall satisfaction degree to care and rehabilitation effect, thus is worth of wide application.

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