医院—家庭一体化管理策略对慢性乙型肝炎患者负性情绪及生活质量的影响  

Effect of Hospital-family Integrated Management Strategy on Negative Emotions and Quality of Life in Patients with Chronic Hepatitis B

作　　者：林莉莉[1] 陈素绸 LIN Lili;CHEN Suchou(Department of Infectious Diseases,The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院感染科,福建厦门361000

出　　处：《中国医药指南》2022年第30期53-56,共4页Guide of China Medicine

摘　　要：目的探究医院—家庭一体化管理策略在慢性乙型肝炎患者中的应用效果。方法选取2020年10月至2021年10月我院的98例慢性乙型肝炎患者,以入院编号奇数偶数分为两组,对照组(n=49)给予常规护理干预,观察组(n=49)在前者基础上,给予医院—家庭一体化管理策略干预。对比两组依从性、焦虑自评量表(SAS)、Herth希望量表(HHI)、抑郁自评量表(SDS)、慢性肝病问卷(CLDQ)、成年人健康自我管理能力测评量表(AHSMSRS)、慢性肝病问卷(CLDQ)评分及护理满意度。结果观察组总依从率95.92%(47/49)高于对照组79.59%(39/49)(P<0.05);护理后观察组HHI较对照组高,SDS、SAS较对照组低(P<0.05);护理后观察组AHSMSRS、CLDQ高于对照组(P<0.05);观察组满意度97.96%(48/49)高于对照组83.67%(41/49)(P<0.05)。结论医院—家庭一体化管理策略可提高慢性乙型肝炎患者自我管理能力,降低不良情绪,增强希望水平,提高患者依从性,改善生活质量,还能提高满意度。Objective To explore the application effect of hospital-family integrated management strategy in patients with chronic hepatitis B.Methods A total of 98 patients with chronic hepatitis B in our hospital from October 2020 to October 2021 were selected and divided into two groups according to the admission numbers of odd and even numbers.The control group(n=49)was given routine nursing intervention,and the observation group(n=49)was given hospital-family integration management strategy intervention on the basis of the former.The scores of compliance,Self-rating Anxiety scale(SAS),Herth Hope Scale(HHI),Self-rating Depression Scale(SDS),Chronic Liver Disease Questionnaire(CLDQ),Adult Health Self-Management Scale(AHSMSRS),Chronic Liver Disease Questionnaire(CLDQ)and nursing satisfaction were compared between the two groups.Results The total compliance rate of the observation group was 95.92%(47/49)higher than that of the control group 79.59%(39/49)(P<0.05).After nursing,HHI in the observation group was higher than that in the control group,and SDS and SAS were lower than those in the control group(P<0.05).After nursing,AHSMSRS and CLDQ in the observation group were higher than those in the control group(P<0.05).The satisfaction of the observation group was 97.96%(48/49)higher than that of the control group 83.67%(41/49)(P<0.05).Conclusion The hospital-family integrated management strategy can improve the self-management ability of patients with chronic hepatitis B,reduce the bad mood,enhance the level of hope,improve the patient's compliance,improve the quality of life,and improve the satisfaction.

关 键 词：医院 家庭 慢性乙型肝炎 依从性 生活质量 

分 类 号：R473.5[医药卫生—护理学]