认知行为护理对慢性乙肝患者自我管理能力及生存质量的影响

Effects of Cognitive Behavioral Nursing on Self-Management Ability and Quality of Life of Patients with Chronic Hepatitis B

目的探讨认知行为护理对慢性乙肝患者自我管理能力及生存质量的影响。方法选取2015年9月至2019年11月我院收治的142例慢性乙肝患者,随机分为两组各71例。对照组采用常规护理,观察组在对照组基础上实施认知行为护理。比较两组护理前后的自我管理能力及生存质量。结果护理前,两组的自我管理量表(PIH)评分、生存质量测定简表(QOLBREF)评分比较,差异无统计学意义(P>0.05);护理1个月后,两组的PIH评分均较护理前降低, QOL-BREF评分均较护理前提高(P <0.05);观察组护理1个月后的PIH评分显著低于对照组, QOL-BREF评分显著高于对照组(P <0.05)。结论认知行为护理可有效提高慢性乙肝患者的自我管理能力及生存质量。

Objective To explore the effects of cognitive behavioral nursing on self-management ability and quality of life of patients with chronic hepatitis B.Methods 142 patients with chronic hepatitis B admitted to our hospital from September 2015 to November 2019 were selected and randomly divided into two groups,with 71 cases in each group.The control group received routine nursing,and the observation group received cognitive behavioral nursing on the basis of the control group.The self-management ability and quality of life before and after nursing were compared between the two groups.Results Before nursing,no significant difference was found between the two groups in self-management scale(PIH)score and brief table of quality of life scale(QOL-BREF)score(P>0.05).After 1 month of nursing,the PIH scores of both groups were significantly lower than those before nursing,and the QOL-BREF scores were significantly higher than those before nursing(P<0.05).After 1 month of nursing,the PIH score of observation group was significantly lower than that of control group,and the QOL-BREF score was significantly higher than that of control group(P<0.05).Conclusions Cognitive behavioral nursing can effectively improve the self-management ability and quality of life of patients with chronic hepatitis B.