正念减压护理联合五音疗法对乙肝肝硬化失代偿期患者的影响

Effect of Mindfulness Stress Reduction Nursing Combined with Five-tone Therapy on Decompensated Patients with Hepatitis B Cirrhosis

目的探究正念减压护理联合五音疗法对乙肝肝硬化失代偿期患者心理应激、自我效能及生活质量的影响。方法随机选取2018年1—12月期间徐州市传染病医院中西医结合科收治的80例乙肝肝硬化失代偿期患者为研究对象,采用随机数表法平均分为对照组和观察组,对照组40例患者进行常规护理干预,观察组40例患者在此基础上进行正念减压护理联合五音疗法干预,对比两组患者干预前后焦虑、抑郁情绪,自我效能、正念水平和生活质量的差异。结果干预前两组患者焦虑、抑郁评分对比,差异无统计学意义(P>0.05);干预后观察组患者焦虑评分(46.47±3.28)分、抑郁评分(41.32±3.27)分均低于对照组,差异有统计学意义(t=12.400、15.805,P<0.05);干预后观察组患者自我效能和正念水平评分均高于对照组,差异有统计学意义(P<0.05)。干预后观察组患者的生活质量各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论对乙肝肝硬化失代偿期患者采取正念减压护理联合五音疗法综合护理措施,可降低患者的心理应激反应,干预后的患者自我效能感和正念水平明显提升,患者的生活质量有相应的改善。

Objective To explore the effect of mindfulness-based stress reduction nursing combined with five-tone therapy on psychological stress,self-efficacy and quality of life in patients with decompensated hepatitis B cirrhosis.Methods 80 patients with decompensated hepatitis B cirrhosis admitted to the Department of Integrated Traditional Chinese and Western Medicine of Xuzhou Infectious Disease Hospital from January to December 2018 were randomly selected as the research objects.They were divided into control group and observation group by random number table method.40 patients in the control group received routine nursing intervention,and 40 patients in the observation group received mindfulness decompression nursing combined with five-tone therapy intervention on this basis.The differences of anxiety,depression,self-efficacy,mindfulness level and quality of life between the two groups before and after intervention were compared.Results There was no statistically significant difference in anxiety and depression scores between the two groups before intervention(P>0.05).After intervention,the anxiety score(46.47±3.28)points and depression score(41.32±3.27)points in the observation group were lower than those in the control group,and the difference was statistically significant(t=12.400,15.805,P<0.05).After intervention,the scores of selfefficacy and mindfulness level in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of quality of life in patients n the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion Taking mindfulness stress reduction nursing combined with five-tone therapy comprehensive nursing measures for patients with decompensated hepatitis B cirrhosis can significantly reduce the psychological stress of patients.After the intervention,the self-efficacy and mindfulness of the patients were significantly improved,and the quality of life of the patients was improved accordingly.