乙肝肝硬化患者配偶健康商数水平影响因素分析及护理干预策略

Analysis of influencing factors of health quotient level of spouses of patients with hepatitis B cirrhosis and nursing intervention strategies

目的分析乙肝肝硬化患者配偶健康商数水平的影响因素,以此为依据进一步实施护理干预策略。方法选取2019年10月至2021年10月132名乙肝肝硬化患者配偶作为研究对象。调查工具包括一般资料调查问卷、健康商数调查问卷、肝硬化知识问卷、汉密尔顿抑郁量表(HAMD)以及特质应对方式问卷(TCSQ)。采用多元线性回归分析乙肝肝硬化患者配偶健康商数水平影响因素。结果最终获得有效问卷128份,问卷有效回收率为96.97%。乙肝肝硬化患者配偶的健康商数总分为(26.35±3.56)分,各维度得分由低到高分别为健康知识、生活技能、自我保健、精神状态、生活方式。多元线性回归结果显示,学历、与家庭成员关系和睦、积极应对是乙肝肝硬化患者配偶健康商数水平的保护因素,未掌握肝硬化知识、抑郁是危险因素(P<0.05)。结论乙肝肝硬化患者配偶的健康商数处于中等水平,仍待进一步提升,学历、与家庭成员关系和睦、积极应对是其保护因素,未掌握肝硬化知识、抑郁是其危险因素,临床可根据上述因素给予针对性的干预措施,以提高其健康商数水平。

Objective To analyze the influencing factors of health quotient level of spouses of patients with hepatitis B cirrhosis,and to further implement nursing intervention strategies based on this.Methods From October 2019 to October 2021,132 spouses of patients with hepatitis B cirrhosis were selected as the research objects.The survey tools included general information questionnaire,health quotient questionnaire,liver cirrhosis knowledge questionnaire,Hamilton Depression Scale(HAMD)and Trait Coping Style Questionnaire(TCSQ).The multiple linear regression was used to analyze the influencing factors of health quotient level of spouses of patients with hepatitis B cirrhosis.Results Finally,128 valid questionnaires were obtained,and the effective recovery rate of the questionnaire was 96.97%.The total score of health quotient of spouses of patients with hepatitis B cirrhosis was(26.35±3.56)points,and the scores of each dimension from low to high were health knowledge,life skill,self-care,mental state and lifestyle.The results of multiple linear regression showed that educational background,harmonious relationship with family members and positive coping were the protective factors of the health quotient level of the spouses of patients with hepatitis B cirrhosis,and lack of knowledge of cirrhosis and depression were the risk factors(P<0.05).Conclusion The health quotient of spouses of patients with hepatitis B cirrhosis is at a medium level,which still needs to be further improved.Education background,harmonious relationship with family members and positive response are its protective factors,and lack of knowledge of cirrhosis and depression are its risk factors.Clinically,targeted interventions can be given based on the above factors to improve their health quotient level.