强化健康教育对门诊乙型肝炎肝硬化患者心理状态的影响  

Effect of intensive health education on the psychological status of outpatients with hepatitis B cirrhosis

作　　者：张勇勇[1] 杨玉兰[1] 李雁[1] 

机构地区：[1]首都医科大学附属北京佑安医院门诊部,100069

出　　处：《山西医药杂志》2016年第17期1986-1989,共4页Shanxi Medical Journal

基　　金：首都医科大学附属北京佑安医院基础临床合作研究基金(12JL-L03)

摘　　要：目的探讨研究强化健康教育对门诊乙型肝炎肝硬化患者心理状态的影响。方法将我院门诊2013年6月至2015年6月收治的80例乙型肝炎肝硬化患者按照随机综合平衡序贯法分为观察组和对照组,各40例。所有患者均给予一般护理模式,观察组在此基础上给予强化健康教育。观察对比不同模式对患者心理状态的影响。结果观察组并发症发生率和再住院率(10%和8%)均远低于对照组(32%和30%)(P<0.05);护理前2组抑郁自评量表(SDS)和焦虑自评量表(SAS)评分差异无统计学意义(P>0.05),护理后均明显降低(P<0.05),且观察组远低于对照组(P<0.05);护理后观察组病耻感、健康压力、睡眠、孤独感、对日常生活的影响及相关症状等各维度肝脏疾病生存质量调查量表评分均远高于对照组(P<0.05)。结论对门诊乙型肝炎肝硬化患者采用强化健康教育干预可以显著改善其心理状态和生活质量,还可明显减少并发症和再住院情况。Objective To explore and study the effect of intensive health education on the psychological status of outpatients with hepatitis B cirrhosis.Methods Eighty cases of outpatients with hepatitis B cirrhosis in our hospital from June 2013 to June 2015 were divided into observation group and control group,with 40 cases in each group in accordance with the stochastic comprehensive equilibrium sequential method.All patients were given general nursing,and the observation group were given the intensive health education on this basis.The influences of different patterns on the psychological status of patients were observed and compared.Results The incidence of complications and re-hospitalization rate（10% and 8%）of the observation group were much lower than those of the control group,respectively（32% and 30%）（P〈0.05）.There were no significant differences in SAS and SDS scores between the two groups before nursing（P〉0.05）,which were significantly lower after nursing（P〈0.05）,of which the observation group were much lower than those of the control group（P〈0.05）.The stigma,health stress,sleep,loneliness,impact on daily life and related symptoms of the dimensions of the LDQOL scores of the observation group were much higher than those of the control group after nursing（P〈0.05）.ConclusionThe implementation of intensive health education on the psychological status of outpatients with hepatitis B cirrhosis can significantly improve the psychological status and quality of life,and significantly reduce complications and re-hospitalization situation.

关 键 词：健康教育 肝硬化 心理状态 

分 类 号：R473.5[医药卫生—护理学]