基于奥马哈系统理论的延续性护理结合积极心理干预对慢性乙型肝炎患者疾病自我感受负担及疾病控制的影响

Effects of continuous nursing based on Omaha system theory combined with positive psychological intervention on disease self-perceived burden and disease control in patients with chronic hepatitis B

目的探讨基于奥马哈系统理论的延续性护理结合积极心理干预在慢性乙型肝炎(CHB)患者中的应用效果。方法择取2017年12月至2020年12月收治的120例CHB患者为研究对象,采用随机数字表法将其分为对照组与观察组,各60例。对照组采用常规护理干预,观察组在对照组基础上加基于奥马哈系统理论的延续性护理结合积极心理干预。比较两组的干预效果。结果干预后,观察组的自我感受负担量表(SPBS)各维度评分低于对照组(P<0.05)。干预后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)、恐惧视觉模拟评分法(FAVS)评分低于对照组(P<0.05)。观察组的乙型肝炎病毒e抗原(HBeAg)、乙型肝炎病毒DNA(HBV-DNA)、乙型肝炎表面抗原(HBsAg)转阴率及谷丙转氨酶(ALT)正常率均高于对照组(P<0.05)。结论基于奥马哈系统理论的延续性护理结合积极心理干预不仅能够减轻CHB患者疾病自我感受负担,还能改善心理状态,提高疾病控制效果,值得推广。

Objective To explore the application effect of continuous nursing based on Omaha system theory combined with positive psychological intervention in patients with chronic hepatitis B(CHB).Methods A total of 120 CHB patients admitted from December 2017 to December 2020 were selected as the research objects and divided into control group and observation group by random number table method,with 60 cases in each group.The control group was adopted routine nursing intervention,and the observation group was adopted continuous nursing based on Omaha system theory combined with positive psychological intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Self-Perceived Burden Scale(SPBS)in the observation group were lower than those in the control group(P<0.05).After intervention,the scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and Fear Visual Analogue Scale(FAVS)in the observation group were lower than those in the control group(P<0.05).The negative conversion rate of hepatitis B e antigen(HBeAg),hepatitis B virus-DNA(HBV-DNA),hepatitis B surface antigen(HBsAg)and the normal rate of glutamic pyruvic transaminase(ALT)in the observation group were higher than those in the control group(P<0.05).Conclusion The continuous nursing based on Omaha system theory combined with positive psychological intervention can not only reduce the self-perceived burden of CHB patients,but also improve the psychological state and improve the effect of disease control,which is worthy of promotion.