多维度心理干预对失代偿期肝硬化患者治疗依从性、疾病获益感及生活质量的影响

Effects of Multidimensional Psychological Intervention on Treatment Compliance, Disease Benefit and Quality of Life of Patients with Decompensated Liver Cirrhosis

目的 探讨多维度心理干预对失代偿期肝硬化患者的影响。方法 选取2021年1月1日至2021年6月30日我院就诊的失代偿期肝硬化患者118例,根据入院顺序分为常规组(n=59)和研究组(n=59)。常规组进行常规护理干预,研究组在常规组基础上实施多维度心理干预。比较两组疾病获益感、自我效能、自我感受负担、焦虑情绪、抑郁情绪、应对方式、治疗依从性、生活质量等情况。结果 干预后研究组BFS、GSES评分较常规组高,SPBS评分较常规组低(P <0.05);干预后与常规组比较,研究组SAS、SDS评分较低,GQOL-74评分较高(P <0.05);干预后研究组积极WCQ高于常规组,消极WCQ低于常规组(P <0.05);两组总治疗依从率比较,研究组(94.92%)高于常规组(81.36%)(P <0.05)。结论 多维度心理干预可改善失代偿期肝硬化患者负性情绪及自我效能,提升疾病获益感,减轻自我感受负担,还可促进患者积极应对疾病,从而进一步提升其治疗依从性,改善其生活质量。

Objective To explore the effect of multidimensional psychological intervention on patients with decompensated liver cirrhosis.Methods 118 patients with decompensated liver cirrhosis treated in our hospital from January 1, 2021 to June 30, 2021 were selected and divided into routine group(n=59) and study group(n=59) according to the order of admission. The routine group received routine nursing intervention,and the study group implemented multidimensional psychological intervention on the basis of the routine group. The disease benefit, self-efficacy,self perceived burden, anxiety, depression, coping style, treatment compliance, quality of life and so on were compared between the two groups.Results After the intervention, the BFS and GSES scores of the study group were higher than those of the routine group, and the SPBs scores were lower than those of the routine group(P<0.05). After the intervention, compared with the routine group, the SAS and SDS scores of the study group were lower, and the GQOL-74 score was higher(P<0.05). After the intervention, the positive WCQ of the study group was higher than that of the routine group, and the negative WCQ was lower than that of the routine group(P<0.05). The total treatment compliance rate of the study group was 94.92% higher than that of the routine group was 81.36%(P<0.05). Conclusion Multidimensional psychological intervention can improve the negative emotion and self-efficacy of patients with decompensated liver cirrhosis, enhance the sense of benefit from the disease, reduce the burden of self feeling, and promote patients to actively respond to the disease, so as to further improve their treatment compliance and improve their quality of life.