系统干预对干扰素治疗后复发乙型肝炎病人应对方式的影响

Influence of systemic intervention on coping style of patients with recrudescent hepatitis B after interferon treatment

[目的]探讨系统干预对干扰素治疗后复发乙型肝炎病人应对方式的影响。[方法]将应用干扰素抗病毒治疗疗程结束后68例复发乙型肝炎病人随机分为对照组和观察组。对照组采用常规护理和健康教育,观察组在此基础上实施系统的护理干预,干预3个月后采用医学应对问卷MCMQ对两组病人进行问卷调查,比较两组病人的应对方式。[结果]观察组病人面对得分高于对照组,回避、屈服得分低于对照组,差异均有统计学意义(P<0.01或P<0.05)。[结论]系统干预能改变病人的应对方式,减少消极应对,建立良好的心理环境,有利于疾病的稳定和康复。

Objective：To probe into the influence of systemic intervention on coping style of patients with recrudescent hepatitis B after interferon treatment.Methods：Patients with recrudescent hepatitis B undergoing interferon antiviral treatment were randomly divided into control and test group.Patients in control group were given usual care and health education.Patients in test group were given systemic nursing intervention based on usual nursing care.Then all patients were investigated by filling out MCMQ 3 months later.And coping style of the two group cases were compared.Results：The score of facing of test group cases was higher than that of control group cases.Scores of avoiding and yielding were lower than that of control group cases.There were statistical significant differences between the two groups（P0.01 or P0.05）.Conclusion：Systemic intervention can change patients＇ coping style and reduce negative coping.It was helpful for stabilization and rehabilitation of illness of hepatitis B patients.