摘要
目的探讨认知行为干预对慢性乙型肝炎（乙肝）患者自我效能感和生活质量的影响。方法选取慢性乙肝患者90例，采用抽签法将患者分为认知行为干预组和对照组各45例。对照组患者进行常规治疗，干预组患者在常规治疗基础上进行认知行为干预，采用一般自我效能感量表（GSES）和简明健康状况量表（SF=36）对干预效果进行测评。结果干预前，两组GSES评分和SF-36各维度评分差异均无统计学意义（均P〉0．05）。干预后，干预组GSES评分为（22．53±4．12）分，显著高于对照组的（17．82±4．51）分，两组差异有统计学意义（t=4．918，P〈0．01）；干预组SF-36各维度评分[综合健康状况（16．13±2．04）分、躯体功能（17．73±3．49）分、心理健康（15．73±2．69）分、角色受限（18．38±2．78）分、社会性功能（14．76±2．96）分、角色生理（15．89±2．85）分、活力和精力（19．18±3．43）分、机体疼痛（19．84±3．78）分]均显著增加，与对照组[综合健康状况（12．62±2．15）分、躯体功能（13．18±2．31）分、心理健康（9．24±3．54）分、角色受限（8．67±3．47）分、社会性功能（9．24±2．42）分、角色生理（8．67±2．60）分、活力和精力（10．64±2．73）分、机体疼痛（10．80±2．40）分]差异均有统计学意义（t=6．896、8．863、9．189、17．309、9．287、12．046、11．645、14．937，均P〈0．05）。结论认知行为干预可显著增强乙肝患者的自我效能感，同时提高患者的生活质量，在临床工作中可进行推广。
Objective To investigate the influence of cognitive behavioral intervention on self efficacy and quality of life in patients with chronic hepatitis B （CHB）. Methods 90 patients with chronic hepatitis B were randomly divided into cognitive behavioral intervention group and control group ,45 cases in each group. The patients of the control group were treated with routine treatment, the intervention group was given cognitive behavior intervention on the basis of conventional treatment. The general self efficacy scale （GSEs） and SF - 36 quantity form （ SF - 36） were used to evaluate the effects of intervention. Results Before the intervention, the GSES score and SF - 36 scores of each dimension of the two groups had no statistically significant differences （ all P 〉 0.05 ）. After intervention, the GSES scores of the intervention group was （ 22.53 ± 4.12 ） points, which was significantly higher than （ 17.82 ± 4. 51 ）points of the control group, there was significant difference between the two groups （t = 4.918 ,P 〈 0.01 ）. The dimensions of the intervention group SF-36 score[ comprehensive health status （16.13 ± 2.04）points and physical function （ 17.73 ± 3.49 ） points, mental health （ 15.73 ± 2.69 ） points, role limitations （ 18.38 ± 2.78 ） points, social function （ 14.76 ± 2.96 ） points, physiological （ 15.89 ± 2.85 ） points, vitality and energy （ 19.18 ± 3.43 ） points, body pain （19.84 ± 3.78 ）points ] were significantly increased, and compared with the control group [ general health status （ 12.62 ± 2.15 ） points and physical function （ 13.18 ± 2.31 ） points, mental health （ 9.24 ± 3.54） points, role limitations （ 8.67 ± 3.47 ） points, social function （ 9.24 ± 2.42 ） points, physiological （ 8.67 ± 2.60 ） points, vitality and energy （ 10.64 ± 2.73 ） points, body pain （ 10.80 ± 2.40 ） points ], the differences were statistically significant （t=6.896,8.863,9. 189,17.309,9.287,12.046,11.645,14.937,all P�
出处
《中国基层医药》
CAS
2016年第11期1641-1645,共5页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省温州市科技计划项目（Y20140468）
关键词
肝炎
乙型
慢性
认知行为干预
自我效能
生活质量
Hepatitis B,chronic
Cognitive behavior intervention
Self efficacy
Quality of life
