增强心理健康教育对住院乙型肝炎患者应对方式心理状态及生活质量的影响

摘要

目的 探讨增强心理健康教育对住院慢性乙型肝炎(CHB)患者应对方式、心理状态及生活质量的影响.方法 选取2015年12月至2016年12月我院收治的住院CHB患者520例为研究对象,采用随机数表法分为观察组和对照组各260例,对照组给予常规护理干预,观察组在此基础上强化心理健康教育,以应对方式问卷(CSQ)、焦虑、抑郁评分量表(SAS、SDS)比较2组应对方式及心理状态,采用Morisky服药依从性量表(MMAS-8)、慢性肝病问卷(CLDQ)、护理满意度评分表评估2组用药依从性、生活质量及护理满意度,同时比较2组护患纠纷、护理投诉、护理风险事件、并发症及再入院等不良事件发生率.结果 观察组干预后CSQ评分(0.83±0.03)分明显高于对照组,观察组SAS评分(23.1±1.9)分、SDS评分(25.5±1.4)分低于对照组,差异有统计学意义(P<0.05);干预后观察组MMAS-8、CLDQ评分[(7.54±0.11)分、(45.34±0.23)分]较对照组及同组治疗前明显增加,差异有统计学意义(P<0.05);观察组干预后护理满意度总分(84.4±1.5)分及各分项评分高于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率16.9%明显低于对照组25.0%,差异有统计学意义(P<0.05).结论 增强心理健康教育可明显提高CHB患者应对方式、心理状态、生活质量,提高用药依从性、护理满意度,同时减少不良事件,值得在临床推广应用.%Objective To explore the effect of strengthened psychological health education on coping style, psychological status and quality of life of inpatients with hepatitis B.Methods From December 2015 to December 2016, 520 cases of inpatients with hepatitis B in the hospital were selected as study subjects and were randomly divided into the observation group and the control group, 260 cases in each group.The control group were given routine nursing intervention, and the observation group were additionally given psychological health education.The coping style and psychological status were evaluated with the Coping Style Questionnaire (CSQ) and Self-rating Anxiety and Depression Scale (SAS, SDS).The Medication compliance, quality of life and nursing satisfaction were evaluated with the Morisky Medication Adherence Scale (MMAS-8), Chronic Liver Disease Questionnaire (CLDQ) and Nursing Satisfaction Assessment Scale.The incidence rates of adverse events such as nurse-patient disputes, nursing complaints, nursing risk events, complications and readmission were compared between the two groups.Results After nursing intervention, the CSQ score of the observation group (0.83±0.03) was significantly higher than that of the control group, while the SAS score (23.1±1.9) and SDS score (25.4±1.4) were significantly lower than those of the control group (P<0.05).After intervention, the MMAS-8 and CLDQ scores of the observation group [(7.54±0.11), (45.34±0.23)] were significantly higher than those of the control group and the same group before intervention (P<0.05).After intervention, the total score of nursing satisfaction of the observation group (84.4±1.5) and the scores of other items were higher than those of the control group (P<0.05).The incidence of adverse events in the observation group (16.9%) was significantly lower than that in the control group (25.0%) (P<0.05).Conclusion Strengthened psychological health education can significantly improve the coping style, psychological status and quality of life of inpatients with hepatitis B, improve the medication compliance and nursing satisfaction, and reduce the adverse events.It is worthy of clinical application.