基于智谋理论的心理教育课程结合个体化饮食护理对乙型肝炎患者疾病自我感受负担及病情控制的影响  

Effects of psychological education course based on resourcefulness theory combined with individualized diet nursing on self-perceived burden and disease control in patients with hepatitis B

作　　者：关敏[1] 杜锋[2] 罗平娟 GUAN Min;DU Feng;LUO Pingjuan(Medical Imaging Department;Infectious Diseases Department;Health Examination Department,Baoji Central Hospital,Baoji 721008,China)

机构地区：[1]宝鸡市中心医院医学影像科,陕西宝鸡721008 [2]宝鸡市中心医院感染性疾病科,陕西宝鸡721008 [3]宝鸡市中心医院健康体检科,陕西宝鸡721008

出　　处：《临床医学研究与实践》2024年第34期171-174,共4页Clinical Research and Practice

摘　　要：目的探讨基于智谋理论的心理教育课程结合个体化饮食护理对乙型肝炎患者疾病自我感受负担及病情控制的影响。方法择取2020年1月至2023年1月于我院就诊的100例乙型肝炎患者为研究对象,随机将其分为对照组(50例)和观察组(50例)。对照组采用常规护理干预,观察组在对照组基础上增加基于智谋理论的心理教育课程结合个体化饮食护理。比较两组的干预效果。结果干预后,观察组的自我感受负担量表(SPBS)各维度评分低于对照组(P<0.05)。观察组的乙型肝炎病毒e抗原(HBeAg)、乙型肝炎病毒-脱氧核糖核酸(HBV-DNA)、乙型肝炎表面抗原(HBsAg)转阴率及丙氨酸氨基转移酶(ALT)正常率高于对照组(P<0.05)。干预后,观察组的ALT、谷草转氨酶(AST)、碱性磷酸酶(ALP)、总胆汁酸(TBA)水平低于对照组(P<0.05)。结论基于智谋理论的心理教育课程结合个体化饮食护理不仅能够有效减轻乙型肝炎患者的疾病自我感受负担,提升病情控制效果,还能促进肝功能恢复,值得推广。Objective To explore the effects of psychological education course based on resourcefulness theory combined with individualized diet nursing on self-perceived burden and disease control of hepatitis B patients.Methods A total of 100 patients with hepatitis B who were treated in our hospital from January 2020 to January 2023 were selected as the study objects,and the patients were randomly divided into control group(50 cases)and observation group(50 cases).The control group received routine nursing intervention,and the observation group added psychological education courses based on resourcefulness theory combined with individualized diet nursing on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Self-Perceived Burden Scale(SPBS)in the observation group were lower than those in the control group(P<0.05).The negative conversion rate of hepatitis B e antigen(HBeAg),hepatitis B virus deoxyribonucleic acid(HBV-DNA),hepatitis B surface antigen(HBsAg)and normal rate of alanine aminotransferase(ALT)in the observation group were higher than those in the control group(P<0.05).After intervention,the levels of ALT,aspartate transaminase(AST),alkaline phosphatase(ALP)and total bile acids(TBA)in the observation group were lower than those in the control group(P<0.05).Conclusion Psychological education courses based on resourcefulness theory combined with individualized diet nursing can not only effectively reduce the disease self-perceived burden of patients with hepatitis B,improve the effect of disease control,but also promote the recovery of liver function,which is worthy of promotion.

关 键 词：基于智谋理论的心理教育课程 个体化饮食护理 乙型肝炎 疾病自我感受负担 肝功能 

分 类 号：R473[医药卫生—护理学]