基于佩普洛人际关系理论的护理干预对自身免疫性肝炎患者肝功能、心理状态及生活质量的影响

Effect of nursing intervention based on Peplo interpersonal relationship theory on liver function,psychological state,and quality of life of patients with autoimmune hepatiti

目的探究基于佩普洛人际关系理论的护理干预对自身免疫性肝炎患者肝功能、心理状态及生活质量的影响。方法选取空军军医大学第一附属医院消化内科2019年1月至2021年1月收治的200例自身免疫性肝炎患者,采用随机数字表法将其分为对照组和观察组,各100例。对照组采用常规护理干预,观察组实施基于佩普洛人际关系理论的护理干预。比较两组肝功能、心理状态和生活质量。结果干预后,两组谷丙转氨酶、总胆红素低于干预前,且观察组低于对照组;白蛋白高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组焦虑、抑郁自评量表评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,两组躯体、生理、心理及社会功能评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论基于佩普洛人际关系理论的护理干预,可辅助改善自身免疫性肝炎患者的肝功能,提高患者的心理健康和生活质量。

Objective To explore the effect of nursing intervention based on Peplo interpersonal relationship theory on liver function,psychological state,and quality of life of patients with autoimmune hepatitis.Methods A total of 200 patients with autoimmune hepatitis admitted to the Department of Gastroenterology of the First Affiliated Hospital of Air Force Military Medical University from January 2019 to January 2021 were selected and divided into control group and observation group by random number table method,with 100 cases in each.The control group was given routine nursing intervention,while the observation group was given nursing intervention based on Peplo interpersonal relationship theory.The liver function,psychological state,and quality of life were compared between the two groups.Results After the intervention,the alanine aminotransferase and total bilirubin in the two groups were lower than before the intervention,while those of the observation group were lower than those of the control group;the albumin was higher than before the intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).After the intervention,the anxiety and depression self-rating scale scores in the two groups were lower than those before the intervention,while those of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After the intervention,the physical,physiological,psychological,and social function scores of the two groups were higher than those before the intervention,while those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Nursing intervention based on Peplo interpersonal relationship theory can help improve liver function in patients with autoimmune hepatitis,and improve their mental health and quality of life.