护理干预对慢性乙肝患者负性心理和疾病认知的影响

The Influence of Nursing Intervention on Negative Psychology and Cognitive Disease of Patients with Chronic Hepatitis B

目的探讨护理干预对慢性乙肝患者疾病认知和负性心理的影响。方法选择80例患者采用随机分组的方法分为观察组和对照组各40例,观察组采用护理干预,对照组采用常规护理,比较二者的护理效果。结果入组时两组患者慢性乙型肝炎相关知识问卷测试结果比较,差异无统计学意义(P>0.05);护理干预6个月后,观察组患者测试结果明显好于对照组,差异存在显著性(P<0.05)。入组时两组患者HAMA-14和HAMD-17评分差异无统计学意义(P>0.05);护理干预6个月后,观察组患者HAMA-14和HAMD-17评分显著降低,差异存在显著性(P<0.05)。结论护理干预可以降低慢性乙肝患者焦虑、抑郁程度,而且可以提高对疾病的认知,获得良好的社会支持,值得临床推广应用。

Objective To study the influence of nursing intervention on negative psychology and cognitive disease of patients with chronic hepatitis B. Methods 80 patients with chronic hepatitis B were divided randomly into observation group （40 cases） and control group （40 cases） . The observation group was used with nursing intervention, the control group was used with the conventional care. Results At the beginning the two groups of patients with chronic hepatitis B-related knowledge questionnaire test results, HAMA-14 and HAMD-17 score had no significant difference（P〉0.05）. 6 months later the observation group with chronic hepatitis B-related knowledge questionnaire test results was significantly better than the control group, HAMA-14 and HAMD-17 score in observation group reduced significantly, and the difference was statistically significant （P〈0.05）. Conclusion Nursing intervention reduce the chronic hepatitis B patients with anxiety and depression, improve cognitive disease, and be worthy of clinical application.