医护配合型患者中心疗法对慢乙肝患者不良情绪干预效果研究

Study on intervention effect of patient-centered therapy with physician-nurse cooperation style on bad emotion in patients with chronic hepatitis B

目的探讨医护配合型患者中心疗法在慢乙肝患者治疗护理中的应用价值。方法选取2017年7月~2019年6月于我科室住院治疗的100例慢乙肝伴轻、中度焦虑和抑郁的患者为研究对象,按随机数表法分为对照组(n=50)和观察组(n=50),两组均予常规系统的治疗与常规护理,观察组在此基础上联合医护配合型患者中心疗法干预。对比干预前后两组的不良情绪差异,分析干预后两组的住院时间、患者满意度。结果干预前,观察组与对照组SAS、SDS焦虑和抑郁量表评分差异不明显,无统计学意义(P>0.05);干预后,观察组两量表的评分均低于对照组,差异有统计学意义(P<0.05)。与对照组比较,观察组住院时间短、对护理工作满意度高,差异均有统计学意义(P<0.05)。结论为慢乙肝患者提供医护配合型患者中心疗法能够有效缓解其焦虑、抑郁不良情绪,缩短住院时间,改善预后,提高患者对护理工作的满意程度。

Objective To explore the application value of patient-centered therapy with physician-nurse cooperation style in the treatment and nursing of patients with chronic hepatitis B.Methods 100 patients with chronic hepatitis B with mild to moderate anxiety and depression who were hospitalized in our department from July 2017 to June 2019 were randomly divided into control group(n=50)and observation group(n=50).Both groups were treated with conventional systemic therapy and routine nursing,and the observation group was combined with the patient-centered therapy with physician-nurse cooperation style.The differences in bad emotion between the two groups before and after the intervention were compared,and the hospitalization time and patient satisfaction of the two groups after intervention were analyzed.Results Before the intervention,the scores of SAS and SDS anxiety and depression scales in the observation group were not significantly different from those of the control group(P>0.05).After the intervention,the scores of the two scales in the observation group were lower than those in the control group,with statistical significance(P<0.05).Compared with the control group,the observation group had shorter hospital stay and higher satisfaction with nursing work,and the difference was statistically significant(P<0.05).Conclusion The provision of patient-centered therapy with physician-nurse cooperation style for patients with chronic hepatitis B can effectively alleviate their anxiety,depression and bad moon,shorten hospital stay,improve prognosis,and improve patient satisfaction with nursing work.