140例门诊慢性乙肝病人健康教育和心理干预的效果评价  

Effectiveness Evaluation of Health Education and Mental Intervention Among Chronic HBV Patients

作　　者：陈瑞芳[1] 朱娅君[1] 

机构地区：[1]广州中医药大学第一附属医院,广州510405

出　　处：《中国初级卫生保健》2009年第11期68-70,共3页Chinese Primary Health Care

基　　金：2004年度广东省中医药局科研课题(No.2040022)

摘　　要：目的研究慢性乙肝患者心理健康现状,观察健康教育和心理干预的效果。方法对广州中医药大学一附院肝炎门诊140例慢性乙肝病人,随机分组,观察组70人,对照组70人,运用SCL-90量表对慢性乙肝病人和健康对照组的心理健康状况进行调查,了解慢性乙肝病人心理健康状况;随后,运用自行设计的调查问卷对被干预对象的慢性乙肝健康相关知识、健康行为进行调查。在对病人治疗过程中,对观察组以心理干预为重点进行健康教育,包括对病人进行集体健康教育、个人心理辅导,时间为10个月;同时提供专为慢性乙肝健康教育设计的阅读资料和电子资料。对照组仅发给同样内容的健康教育阅读材料和电子资料。比较两组间在慢性乙肝知识和行为、心理健康状况方面的改善情况。结果干预前两组间有关调查项目未见有显著性差异。干预后观察组心理健康状况改善显著(P<0.05),对疾病的应对方式更加积极,用药和治疗依从性增加;病人掌握慢性乙肝健康相关知识更佳,不良行为习惯得到纠正,患者知—信—行改善效果良好。结论以心理干预为重点进行健康教育可改善患者的心理健康状况,提高患者的疾病卫生知识和行为,最终增加健康教育效果。OBJECTIVE To understand the mental health of the patients with chronic hepatitis B, to observe the effects of psychological intervention and mental intervention. METHOD Among the 140 chronic HBV patients of the out-patient clinic of hepatitis in the first affiliated hospital of Guangzhou University of Traditional Chinese Medicine, choose 70 patients as observation group , the other as control group. Scale and Symptom Check List-90 （SCL-90） and other questionnaire was used to investigate patients＇ mantel health, health knowledge and behavior. During 10 months＇ treatment process, mantel intervention was most emphasized during the whole health education. Congregation education and individual psycho-guidance was only used among observation group. At meantime, everyone got a material specially designed for these patients. A comparison of health improvement was performed between two groups in the end. RESULT No significant deviation was seen between two groups before the intervention. After that, the mantel state, health knowledge and behavior of the observation group were better than those of control group. The patients cope with the disease in more positive attitude, their treatment dependence was much better than before. CONCLUSION The health education was effective for the improvement of the mental health as well as the health knowledge and behaviors of the chronic HBV patients.

关 键 词：慢性乙肝病人 健康教育 心理干预 

分 类 号：R193[医药卫生—卫生事业管理]