摘要
目的:分析目的性责任细分化护理与心理疏导在乙型肝炎(简称乙肝)患者中的应用效果。方法:选取2022年1—12月河源市紫金县人民医院收治的乙肝患者60例作为研究对象,随机分为对照组与观察组,各30例。对照组实施常规护理与心理疏导,观察组实施目的性责任细分化护理与心理疏导。比较两组的用药依从性、自护能力和心理健康状况。结果:观察组用药依从率高于对照组,差异有统计学意义(P=0.023)。护理前,两组自我护理能力量表(ESCA)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);护理后,两组ESCA评分升高,观察组高于对照组,两组HAMA、HAMD评分降低,观察组低于对照组,差异有统计学意义(P<0.05)。结论:目的性责任细分化护理与心理疏导在乙肝患者中的应用效果显著,能够提高患者的服药依从性和自护能力,减轻负面情绪。
Objective:To analyze the application effect of purposive responsibility differentiated nursing and psychological counseling in patients with hepatitis B(Hepatitis B).Methods:A total of 60 hepatitis B patients were selected as the study objects at Zijin People's Hospital of Heyuan City from January to December 2022,and were randomly divided into control group and observation group,with 30 cases in each group.The control group received routine nursing and psychological counseling,and the observation group received purposeful responsibility differentiated nursing and psychological counseling.Medication compliance,self-care ability and mental health status of the two groups were compared.Results:The medication compliance rate of observation group was higher than that of control group,the difference was statistically significant(P=0.023).Before nursing,there was no significant difference in the scores of self-care Ability Scale(ESCA),Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)between the two groups(P>0.05);after nursing,ESCA scores of the two groups increased,observation group was higher than the control group,HAMA and HAMD scores of the two groups decreased,observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion:The application of purposive responsibility differentiated nursing and psychological counseling in patients with hepatitis B is remarkable,which can improve patients'medication compliance and self-care ability,and alleviate negative emotions.
作者
张秀英
Zhang Xiuying(Zijin People's Hospital of Heyuan City,Heyuan 517400,Guangdong Province,China)
出处
《中外医药研究》
2024年第9期114-116,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
乙型肝炎
目的性责任细分化护理
心理疏导
用药依从性
自护能力
Hepatitis B
Purposive responsibility differentiated nursing
Psychological counseling
Medication compliance
Selfcare ability