支持性心理治疗对慢性乙型肝炎患者自我感受负担及健康相关行为的影响

Effect of supportive psychotherapy on self-perceived burden and health-related behaviors in patients with chronic hepatitis B

目的探讨支持性心理治疗对慢性乙型肝炎患者自我感受负担及健康相关行为的影响。方法选择2016年7月-2018年6月江苏省淮安市第四人民医院收治的住院慢性乙型肝炎患者115例,根据住院时间分为观察组(2017年7月-2018年6月)56例、对照组(2016年7月-2017年6月)54例。对照组给予慢性乙型肝炎患者常规健康教育及心理干预,观察组联合应用支持性心理治疗。随访6个月,比较两组患者自我感受负担、健康相关行为、患者满意率。结果两组自我感受负担各维度评分低于同组干预前(P<0.01),且观察组身体负担、情感负担、自我感受负担量表总分低于对照组(P<0.01);两组健康相关行为达标率高于同组干预前(P<0.05或P<0.01),且观察组遵医用药、规范饮食、睡眠休息、适宜运动达标率高于对照组(P<0.05);观察组患者满意度高于对照组(P<0.05)。结论支持性心理治疗有助于缓解慢性乙型肝炎患者自我感受负担,促进相关健康行为方式的养成,提高患者满意度。

Objective To investigate the effects of supportive psychotherapy on self-perceived burden and health-related behaviors in patients with chronic hepatitis B.Methods A total of 115 patients with chronic hepatitis B hospitalized to the Huai’an Fourth People’s Hospital from July 2016 to June 2018 were selected.According to the length of hospital stay,the patients were divided into observation group(from July 2017 to June 2018)and control group(from July 2016 to June 2017)with 56 cases and 54 cases.The control group was given routine health education and psychological intervention for patients with chronic hepatitis B,and the observation group was combined with supportive psychological therapy.After six months of follow-up,the self-feeling burden,health-related behavior,and patient satisfaction rate were compared between the two groups.Results The scores of each dimension of the self-perceived burden of the two groups were significantly lower than before the intervention of the same group(P<0.01),the total scores of the physical burden,emotional burden,and self-perceived burden scales of the treatment group were significantly lower than those of the control group(P<0.01);the compliance rate of health-related behaviors of the two groups was significantly higher than before the intervention of the same group(P<0.05 or P<0.01),the rate of compliance with medical drugs,standardized diet,sleep rest,and appropriate exercise was significantly higher than that of the control group(P<0.05);the satisfaction of patients in the observation group was higher than that in the control group(P<0.05).Conclusion Supportive psychotherapy can help relieve the self-feeling burden of patients with chronic hepatitis B,promote the development of relevant health behaviors,and improve patient satisfaction.