首页|护理干预对乙肝肝硬化患者自我管理行为和心理弹性的影响

护理干预对乙肝肝硬化患者自我管理行为和心理弹性的影响

扫码查看
目的 分析护理干预用于乙肝肝硬化患者对其自我管理行为、心理弹性的影响。方法 选取 2020 年 1 月至2022 年 12 月期间在郑州大学附属洛阳中心医院收治乙肝肝硬化共 78 例患者,经随机数表法将其中 39 例归纳到对照组(予以常规护理),余下 39 例归纳到观察组(在前组基础上加以护理干预),观察两组干预前后自我管理行为问卷(CSMS)、心理弹性量表(CD-RISC)、生活质量综合评定表(GQOL-74)评分及满意度。结果 干预前,两组疾病医学、日常生活以及情绪认知管理方面的CSMS评分及总分比较,差异无统计学意义(P>0。05);干预后,两组各项CSMS评分及总分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0。05)。干预前,两组个人能力、适应能力方面的CD-RISC评分及总分比较,差异无统计学意义(P>0。05);干预后,两组各项CD-RISC评分及总分均较前升高,且观察组高于对照组,差异有统计学意义(P<0。05)。干预前,两组躯体功能、心理功能、社会功能及物质生活状态方面的GQOL-74 评分比较,差异无统计学意义(P>0。05);干预后,两组各项GQOL-74 评分均较前升高,且观察组高于对照组,差异有统计学意义(P<0。05)。观察组满意度(97。44%)高于对照组(82。05%),差异无统计学意义(P<0。05)。结论 护理干预用于乙肝肝硬化患者能改善其自我管理行为,提升其心理弹性、生活质量和满意度,值得采用。
The Impact of Nursing Intervention on Self-Management Behavior and Psychological Resilience in Patients with Hepatitis B Cirrhosis
Objective To analyze the impact of nursing intervention on self-management behavior and psychological resilience in patients with hepatitis B cirrhosis.Methods A total of 78 patients with hepatitis B cirrhosis who were admitted to Luoyang Central Hospital affiliated to Zhengzhou University from January 2020 to December 2022 were selected.According to the random number table method,39 of them were included in the control group(given routine care),and the remaining 39 were included in the observation group(given nursing intervention on the basis of the previous group).The Coronary Self-Management Behavior Scale(CSMS),Connor-Davidson resilience scale(CD-RISC),comprehensive quality of life assessment form(GQOL-74)scores,and satisfaction before and after intervention in the two groups were observed.Results Before the intervention,there was no significant difference in the CSMS scores and total scores of disease medicine,daily life,and emotional cognitive management between the two groups(P>0.05);after the intervention,the CSMS scores and total scores of both groups were higher than before the intervention,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in the CD-RISC scores and total scores of personal ability and adaptability between the two groups(P>0.05);after the intervention,the CD-RISC scores and total scores of both groups were higher than before,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in the GQOL-74 scores of physical function,psychological function,social function,and material life status between the two groups(P>0.05);after the intervention,the GQOL-74 scores of both groups were higher than before,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).The satisfaction of the observation group(97.44%)was higher than that of the control group(82.05%),the difference was statistically significant(P<0.05).Conclusion Nursing intervention for patients with hepatitis B cirrhosis can improve their self-management behavior,enhance their psychological resilience,quality of life,and satisfaction,and is worth adopting.

hepatitis B cirrhosisnursing interventionpsychological resilienceself-management behaviorquality of lifesatisfaction

陈艳艳、吴杏民

展开 >

郑州大学附属洛阳中心医院 感染科,河南 洛阳 471000

乙肝肝硬化 护理干预 心理弹性 自我管理行为 生活质量 满意度

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(4)
  • 16