心理行为干预联合中西医治疗慢性乙型肝炎的临床效果观察

Clinical Effect of Psychological Behavior Intervention Combined with Traditional Chinese and Western Medicine inTreatment of Chronic Hepatitis B

目的探讨心理行为干预联合中西医治疗慢性乙型肝炎的临床应用效果。方法选择2018年1月—2020年1月在医院诊治的60例慢性乙型肝炎患者,按抽签的方式,将其均分为对照组(30例)和观察组(30例),分别予以常规干预和心理行为干预。比较并分析两组患者干预后血清总胆红素(TBil)、丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)等肝功能指标水平变化、患者满意度评价情况以及干预前后心理状态(SAS、SDS)评分、生活质量(SCL-90)评分。结果干预前,两组心理状态评分、生活质量评分比较,差异无统计学意义(P>0.05);干预后,观察组患者SAS评分、SDS评分均明显低于对照组,差异有统计学意义(P>0.05);观察组SCL-90评分明显高于对照组,差异有统计学意义(P>0.05);观察组肝功能指标水平改善情况明显优于对照组,差异有统计学意义(P<0.05);观察组患者满意度明显高于对照组,差异有统计学意义(P<0.05)。结论在慢性乙型肝炎中实施心理行为干预联合中西医治疗,不仅能有效改善肝功能,增强临床治疗效果,同时还能改善其心理状况,缓解其不良情绪,提高患者生活质量和满意度,具有显著的临床应用意义。

Objective To explore the clinical effect of psychological behavior intervention combined with traditional Chinese and Western medicine in the treatment of chronic hepatitis B. Methods Sixty patients with chronic hepatitis B in our hospital from January 2018 to January 2020 were selected and divided into control group(30 cases) and observation group(30 cases) according to the way of drawing lots. They were given routine intervention and psychological behavior intervention respectively. The changes of serum total bilirubin(TBIL), alanine aminotransferase(ALT), aspartate aminotransferase(AST)and other liver function indexes, the evaluation of patients’ satisfaction, the scores of psychological state(SAS, SDS) and quality of life(SCL-90) before and after the intervention were compared and analyzed between the two groups. Results Beforeintervention, there was no significant difference in the scores of psychological state and quality of life between the two groups(P>0.05). Afterintervention, the SAS score and SDS score of the observation group were significantly lower than those of the control group, with significant difference(P<0.05).The SCL-90 score of the observation group was significantly higher than that of the control group, with significant difference(P<0.05). The liver function index level of the observation group was improved. The patients’ satisfaction in the observation group was significantly higher than that in the control group(P<0.05). Conclusion The implementation of psychological behavior intervention combined with traditional Chinese and Western medicine in the treatment of chronic hepatitis B can not only effectively improve the liver function, enhance the clinical treatment effect, but also improve their psychological status, alleviate their bad mood, improve the quality of life and satisfaction of patients, which has significant clinical significance.