健康教育对慢性乙肝患者家属焦虑和应对方式的影响

The Effects of Health Education on the Anxiety and the Coping Ways of FamilyMembers of Chronic Hepatitis B Patients

目的 :探讨健康教育对慢性乙型肝炎患者家属的焦虑和应对方式的影响 ,为临床护理干预提供理论基础。方法 :采用类实验性研究法 ,应用焦虑自评量表 (SAS)和简易应对方式问卷 ,对 70例慢性乙型肝炎患者家属进行调查 ,健康教育后再进行第二次调查 ,对前后结果进行对比分析。结果 :慢性乙型肝炎患者家属焦虑与积极应对呈高度负相关 ,与消极应对呈高度正相关。健康教育后SAS均分显著降低 ,积极应对维度均分显著提高 ,而消极应对维度均分显著降低。结论 :临床护理中应针对慢性乙肝患者家属的应对方式进行有效健康教育以缓解其焦虑程度 ,应加强对患者家属的健康教育和心理疏导以促进患者的康复。

Objective： To explore the effects of health edueation on the anxiety and the coping ways of family menbers of ctu＇onic hepatitis B patients and provide a theory basis for intervention of clinical care. Methods： used a quasi - experimental design, SAS and Simplified Coping Style Questionnaire were used to evaluate the anxiety and coping style in 70 family members of CHB patients before and after health education. Results： In the family members of CHB patients, the anxiety is highly negative correlated with the active coping, and highly positive correlated with the passive coping. After health education, the average SAS scores were decreased, and the average active coping scores were increased, but the average passive coping scores were decreased. Conclusion ： Nurses should perform effective health education to the coping ways of family members of chronic hepatitis B patients to reduce their anxiety level, and should reinforce the health education to the family members of the patients to promote the recovery.