人文关怀护理对慢性乙肝患者抗病毒治疗依从性及心理状态的影响

Influence of humanistic care nursing on compliance and psychological state of chronic hepatitis B patients with antiviral treatment

目的探讨人文关怀护理对慢性乙型肝炎(以下简称“乙肝”)患者抗病毒治疗依从性及心理状态的影响。方法选取2022年3月至2023年3月于抚州市第一人民医院接受抗病毒干预的68例慢性乙肝患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组34例。对照组采用常规护理干预,观察组采用人文关怀护理干预,两组患者均干预1个月,比较两组患者心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、人文关怀能力[人文关怀能力评价量表(CAI)]、治疗依从性和生活质量[生活质量综合评定问卷(GQOLI-74)]。结果干预前,两组患者SAS、SDS评分比较,差异无统计学意义(P>0.05);干预后,观察组SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。干预前,两组患者PSQI、CAI评分比较,差异无统计学意义(P>0.05);干预后,观察组PSQI评分低于对照组,CAI评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者治疗依从性评分比较,差异无统计学意义(P>0.05);干预后,观察组治疗依从性评分高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者GQOLI-74评分比较,差异无统计学意义(P>0.05);干预后,观察组GQOLI-74评分高于对照组,差异有统计学意义(P<0.05)。结论人文关怀护理可改善慢性乙肝患者心理状态和人文关怀能力,提升睡眠质量,提高其治疗依从性和生活质量,值得推广。

Objective To explore the effect of humanistic care nursing on antiviral treatment compliance and psychological state of patients with chronic hepatitis B.Methods A total of 68 patients with chronic hepatitis B who received antiviral intervention in First People's Hospital of Fuzhou from March 2022 to March 2023 were selected as the research objects,and they were divided into control group and observation group according to random number table method,with 34 cases in each group.The control group received routine nursing intervention,and the observation group received humanistic care nursing intervention.Both groups received nursing for 1 month.The mental state(self-rating anxiety scale[SAS]and self-rating depression scale[SDS]),sleep quality(Pittsburgh sleep quality index[PSQI]),humanistic care ability(caring ability inventory[CAI]),treatment compliance and quality of life(generic quality of life inventory 74[GQOLI-74])of the two groups were compared.Results Before intervention,there were no significant differences in SAS and SDS scores between the two groups(P>0.05).After intervention,the SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Before intervention,there were no significant differences in PSQI and CAI scores between the two groups(P>0.05).After the intervention,the PSQI score of the observation group was lower than that of the control group,and the CAI score was higher than that of the control group,with statistical significances(P<0.05).Before intervention,there were no significant differences in treatment compliance scores between the two groups(P>0.05).After intervention,the treatment compliance score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in GQOLI-74 scores between the two groups(P>0.05).After intervention,the GQOLI-74 scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Humanistic care nursing can improve the psychological state and humanistic care ability of chronic hepatitis B patients,improve sleep quality,treatment compliance and quality of life,which is worth promoting.