80例慢性乙型肝炎患者的心理状态分析及护理干预的效果观察
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摘要
目的分析乙型肝炎患者的心理状态,并观察对慢性乙型肝炎患者实施护理干预的效果。方法纳入我院2017年8月～2018年8月收治的80例慢性乙型肝炎患者作为研究对象,并随机分为观察组和对照组,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)分析两组患者的心理状态,在两组患者接受治疗期间,予以对照组患者常规护理,予以观察组护理干预,评价两组患者的护理效果。结果 (1)统计量表结果发现,在护理干预前两组患者均存在不同程度的抑郁情绪和焦虑情绪,且两组患者抑郁及焦虑不同程度分布,差异无统计学意义(P> 0.05)。(2)对两组患者护理前的SDS评分、SAS评分进行统计分析,差异无统计学意义(P> 0.05),对两组患者护理后的SDS评分、SAS评分进行统计分析,差异有统计学意义(P <0.05),对照组与观察组患者护理后SDS评分、SAS评分进行统计分析,差异有统计学意义(P <0.05)。(3)两组护理前的生活质量比较,差异无统计学意义(P> 0.05),护理后观察组患者生活质量优于对照组(P <0.05),观察组与对照组见患者护理后生活质量均优于护理前(P <0.05)。(4)经统计发现观察组患者的护理满意度较对照组高(P<0.05)。结论慢性乙型肝炎患者多存在不同程度的不良情绪,通过对患者实施护理干预,能够有效改善患者心理状态,提高患者生活质量。
Objective To analyze the mental state of patients with hepatitis B and observe the effect of nursing intervention on patients with chronic hepatitis B. Methods Eighty patients with chronic hepatitis B admitted to our hospital from August 2017 to August 2018 were selected as the study subjects.The subjects were randomly divided into observation group and control group.The mental state of the two groups was analyzed by self-rating depression scale(SDS)and self-rating anxiety scale(SAS).Nursing intervention was given to the observation group,and the nursing effects of the two groups were evaluated. Results(1)The results showed that there were different degrees of depression and anxiety in the two groups before nursing intervention,and there was no difference in the distribution of depression and anxiety between the two groups(P > 0.05).(2)The SDS scores before nursing were statistically analyzed.The results showed that there was no significant difference between the two groups(P > 0.05).The SDS scores of the two groups after nursing were statistically analyzed.The results showed that there was a significant difference between the groups(P < 0.05).The SDS scores of the patients in the control group and the observation group were statistically analyzed after nursing.The results showed that there was a significant difference between the two groups(P < 0.05).(3)There was no significant difference in the quality of life between the two groups before nursing(P > 0.05).The quality of life in the observation group was better than that in the control group(P < 0.05),and the quality of life in the observation group and the control group was better than that before nursing(P < 0.05).(4)The nursing satisfaction of the observation group was higher than that of the control group(P < 0.05). Conclusion Patients with chronic hepatitis B often have different degrees of bad emotions,through nursing intervention,can effectively improve the psychological state of patients,improve the quality of life of patients.
Objective To analyze the mental state of patients with hepatitis B and observe the effect of nursing intervention on patients with chronic hepatitis B. Methods Eighty patients with chronic hepatitis B admitted to our hospital from August 2017 to August 2018 were selected as the study subjects.The subjects were randomly divided into observation group and control group.The mental state of the two groups was analyzed by self-rating depression scale(SDS)and self-rating anxiety scale(SAS).Nursing intervention was given to the observation group,and the nursing effects of the two groups were evaluated. Results(1)The results showed that there were different degrees of depression and anxiety in the two groups before nursing intervention,and there was no difference in the distribution of depression and anxiety between the two groups(P > 0.05).(2)The SDS scores before nursing were statistically analyzed.The results showed that there was no significant difference between the two groups(P > 0.05).The SDS scores of the two groups after nursing were statistically analyzed.The results showed that there was a significant difference between the groups(P < 0.05).The SDS scores of the patients in the control group and the observation group were statistically analyzed after nursing.The results showed that there was a significant difference between the two groups(P < 0.05).(3)There was no significant difference in the quality of life between the two groups before nursing(P > 0.05).The quality of life in the observation group was better than that in the control group(P < 0.05),and the quality of life in the observation group and the control group was better than that before nursing(P < 0.05).(4)The nursing satisfaction of the observation group was higher than that of the control group(P < 0.05). Conclusion Patients with chronic hepatitis B often have different degrees of bad emotions,through nursing intervention,can effectively improve the psychological state of patients,improve the quality of life of patients.
引文
[1]吴艳芳,许雪春,陈丽娟,等.护理干预对慢性乙型肝炎患者心理状态的影响[J].实用临床医学,2011,12(1):103-105.
[2]钱明.护理干预对慢性乙型肝炎患者心理状态的影响[J].中国实用护理杂志,2011,27(28):49-50.
[3]陈伟焕.护理干预对慢性乙型肝炎患者抗病毒治疗依从性及心理状况的影响[J].齐鲁护理杂志,2016,22(1):33-34.
[4]刘桂兰,胥莹,潘慧,等.68例慢性乙型肝炎患者对疾病认知及心理和行为问卷调查[J].昆明医科大学学报,2015,36(6):144-147.
[5]张晓菊,崔翔.健康宣教和心理干预对慢性乙型肝炎患者心理障碍的影响[J].陕西医学杂志,2015,15(3):384-384.
[6]宋江美,林栋羚,薛静静,等.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[J].川北医学院学报,2016,31(5):762-765.
[7]刘春颖,韩丽娜.综合护理干预对首次住院的慢性乙型肝炎患者心理状态的影响[J].中国卫生标准管理,2016,7(9):232-233.
[8]王建亚.护理干预对慢性乙型肝炎患者心理状态的影响分析[J].吉林医学,2014,35(24):5530-5531.
[9]郑雪英,陈建华,林小清,等.心理护理对妊娠合并慢性乙型肝炎患者心理状态的影响[J].齐鲁护理杂志,2014,14(1):101-102.
[10]沈娅.干扰素α联合阿德福韦酯治疗HBeAg阳性慢性乙型肝炎的疗效和护理干预措施[J].国际护理学杂志,2015,15(6):863-864.
[11]马建敏.护理干预对慢性乙型肝炎病人抗病毒治疗依从性及心理因素的影响[J].全科护理,2015,9(1):47-49.
[12]于瑞叶.心理护理在慢性乙型肝炎患者中的应用[J].齐鲁护理杂志,2017,23(5):86-87.
[13]许建华,鞠丹,陈玲,等.针对性心理干预对慢性乙型肝炎患者焦虑和抑郁状态的效果评价[J].湖北民族学院学报(医学版),2015,10(1):49-51.
[14]陈丽红,朴顺梅,于洪博,等.增强心理健康教育对住院乙型肝炎患者应对方式心理状态及生活质量的影响[J].山西医药杂志,2017,46(14):1655-1658.
[15]高文杰,董玉敏.心理护理干预在乙型肝炎患者治疗中的效果评价[J].中国实用医刊,2015,42(4):111-113.
[2]钱明.护理干预对慢性乙型肝炎患者心理状态的影响[J].中国实用护理杂志,2011,27(28):49-50.
[3]陈伟焕.护理干预对慢性乙型肝炎患者抗病毒治疗依从性及心理状况的影响[J].齐鲁护理杂志,2016,22(1):33-34.
[4]刘桂兰,胥莹,潘慧,等.68例慢性乙型肝炎患者对疾病认知及心理和行为问卷调查[J].昆明医科大学学报,2015,36(6):144-147.
[5]张晓菊,崔翔.健康宣教和心理干预对慢性乙型肝炎患者心理障碍的影响[J].陕西医学杂志,2015,15(3):384-384.
[6]宋江美,林栋羚,薛静静,等.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[J].川北医学院学报,2016,31(5):762-765.
[7]刘春颖,韩丽娜.综合护理干预对首次住院的慢性乙型肝炎患者心理状态的影响[J].中国卫生标准管理,2016,7(9):232-233.
[8]王建亚.护理干预对慢性乙型肝炎患者心理状态的影响分析[J].吉林医学,2014,35(24):5530-5531.
[9]郑雪英,陈建华,林小清,等.心理护理对妊娠合并慢性乙型肝炎患者心理状态的影响[J].齐鲁护理杂志,2014,14(1):101-102.
[10]沈娅.干扰素α联合阿德福韦酯治疗HBeAg阳性慢性乙型肝炎的疗效和护理干预措施[J].国际护理学杂志,2015,15(6):863-864.
[11]马建敏.护理干预对慢性乙型肝炎病人抗病毒治疗依从性及心理因素的影响[J].全科护理,2015,9(1):47-49.
[12]于瑞叶.心理护理在慢性乙型肝炎患者中的应用[J].齐鲁护理杂志,2017,23(5):86-87.
[13]许建华,鞠丹,陈玲,等.针对性心理干预对慢性乙型肝炎患者焦虑和抑郁状态的效果评价[J].湖北民族学院学报(医学版),2015,10(1):49-51.
[14]陈丽红,朴顺梅,于洪博,等.增强心理健康教育对住院乙型肝炎患者应对方式心理状态及生活质量的影响[J].山西医药杂志,2017,46(14):1655-1658.
[15]高文杰,董玉敏.心理护理干预在乙型肝炎患者治疗中的效果评价[J].中国实用医刊,2015,42(4):111-113.