乙肝患者自我效能的提升对生活质量影响研究

Influence of self-efficacy improvement on quality of life in patients with hepatitis B virus

目的探讨自我效能干预对乙肝患者自我管理能力及生活质量的影响。方法选取乙型病毒性肝炎患者60例为研究对象,通过随机数字表法分为A组和B组,各30例,B组实施常规护理,A组在常规护理基础上实施以自我效能干预为中心的综合性护理。观察2组患者干预前后的自我效能、自我管理能力及生活质量变化。结果干预后,A组GSES评分高于B组,PIH各维度评分均低于B组,QLS-CHB各维度评分均较B组高,差异均有统计学意义(P<0.05)。结论对乙肝患者实施自我效能干预,能有效提高患者自我管理能力,增强依从性,改善生活质量。

Objective To explore the influence of self-efficacy intervention on self-management ability and quality of life in patients with hepatitis B virus. Methods Sixty patients with hepatitis B were randomly divided into group A and B, 30 cases in each group. The group B was given the routine nursing, while the group A was given self efficacy intervention as the center of the comprehensive nursing on the basis of routine nursing. The self-efficacy, self-management ability and quality of life before and after intervention were compared between two groups. Results After the intervention,the GSES score of the group A was significantly higher than that of the group B, the scores of dimensions of PIH were significantly lower than the group B, and the score of each dimension of QLS-CHB was significantly higher than the group B ( P < 0. 05 ) . Conclusion The implementation of self efficacy intervention for patients with hepatitis B can effectively improve the self-management ability, enhance the compliance and improve the quality of life.