PBL式健康教育对肝硬化患者自我感受负担及心理痛苦的影响

Effects of PBL-based health education on self-perceived burden and psychological distress in patients with liver cirrhosis

目的探讨PBL式健康教育对肝硬化患者自我感受负担及心理痛苦的影响。方法将住院治疗的肝硬化患者84例随机分为对照组和干预组各42例,对照组按消化内科常规进行健康教育,干预组在常规基础上实施PBL健康教育。于干预前及干预3个月后采用自我感受负担量表及心理痛苦量表测评干预效果。结果干预组40例、对照组39例完成研究纳入分析,干预后干预组自我感受负担总分及各维度得分、心理痛苦评分显著低于对照组(均P<0.01)。结论对肝硬化患者实施PBL式健康教育,能够有效改善其自我感受负担和心理痛苦,有利于促进患者心身健康。

Objective To explore the effects of PBL-based health education on self-perceived burden and psychological distress in patients with liver cirrhosis.Methods Totally 84 inpatients with liver cirrhosis were randomized into a control group and an intervention group,with 42 cases in each group.The control group was given routine health education according to the department of gastroenterology,while the intervention group additionally received PBL-based health education.The intervention effects were assessed utilizing the Self-perceived Burden Scale(SPBS)and the Psychache Scale(PAS)before the intervention and 3 months after the intervention.Results Totally 40 cases in the intervention group and 39 cases in the control group completed the study and were included in the final analysis.After the intervention,the total score and each dimension score of SPBS,and the score of PAS in the intervention group were significantly lower than those in the control group(P<0.01 for all).Conclusion Application of the PBL-based health education in patients with liver cirrhosis can effectively alleviate their self-perceived burden and psychological distress,which is conducive to improving patients′physical and mental health.