综合护理干预对慢性乙型肝炎患者疾病的认知度和负性情绪影响的研究

目的:探讨综合护理干预对慢性乙型肝炎患者疾病认知度和负性情绪的干预效果。方法:选取慢性乙型肝炎患者100例为研究对象,按照随机数字表法分为对照组和观察组,各50例。两组均给予抗病毒治疗和保肝药物。对照组常规护理,观察组在对照组基础上实施综合护理干预,为患者建立健康管理档案,提供个体化健康教育和随访服务。运用自制乙型肝炎疾病知识调查问卷评估两组疾病认知情况,焦虑自评量表(SAS)和抑郁自评量表(SDS)评估焦虑、抑郁情绪。结果:干预后,两组乙型肝炎疾病知识调查问卷各维度评分均较干预前上升,差异有统计学意义(P<0.05或P<0.01)。除运动休息和饮食外,观察组在发病诱因、用药情况和自我防护维度评分增加幅度高于对照组,差异有统计学意义(P<0.01)。干预后,两组SAS、SDS评分均较治疗前降低,观察组SAS和SDS评分下降幅度大于对照组,差异有统计学意义(P<0.01)。结论:综合护理干预可有效提高患者对慢性乙肝肝炎相关知识的掌握程度,改善患者的焦虑、抑郁情绪,对改善治疗依从性具有积极意义。

Effects of integrated nursing management on disease awareness and nega-tive emotion of patients with chronic hepatitis B

Objective:To investigate the effect of integrated nursing management on disease awareness and negative emotion of patients with chronic hepatitis B.Methods:A total of 100 patients with chronic hepatitis B were selected and divided into the control group (n =50)and the observation group (n =50)at random.Both of two groups received antiviral treatments and liver-protective a-gents.The control group was given conventional nursing care while the observation group was applied with integrated nursing interven-tions,including establishment of health care record,providing individualized health education and follow-up services.Awareness of dis-ease was investigated by using self-made questionnaire and the negative emotion were assessed by self rating anxiety scale (SAS)and self rating depression scale (SAS).Results:After the intervention,the scores of the 2 groups of hepatitis B disease knowledge question-naire were higher than before the intervention,and the difference was statistically significant (P <0.05 or P <0.01 ).Except of “exer-cise /rest schedule”and “dietary”,the score in assessment of “disease risk factor”,“medication”and “self-protection”were im-proved more significant in the observation group than those of the control group (P <0.01 ).The SAS and SDS were reduced in both of two groups after intervention and the SAS and SDS scores of the observation group were significantly lower than those of the control group,the difference was statistically significant (P <0.01 ).Conclusion:Comprehensive nursing intervention can effectively improve the patients with chronic hepatitis B hepatitis related knowledge to grasp the degree,improve the patient’s anxiety,depression,have positive significance to improve the treatment compliance.