摘要
目的探讨心理干预对慢性乙型肝炎患者治疗依从性和治疗效果的影响。方法选取2012年8月至2014年7月泰安市中心医院100例慢性乙型肝炎患者,采用随机数字表法分为对照组和干预组各50例,对照组进行常规保肝、抗病毒治疗,干预组在对照组常规治疗基础上加心理干预。心理干预方法主要有对患者乙型肝炎知识的宣传和心理疏导,用热情诚恳的态度与患者交流。在遵医嘱服药、定期复查、改变不良生活方式等治疗依从性方面,对照组和干预组采用秩和检验,检验类型Mann-Whitney U;肝功能方面,对照组和干预组采用两独立样本均数的t检验。结果心理干预前2组患者治疗依从性和治疗效果差异无统计学意义(P>0.05),心理干预治疗后,干预组遵医嘱服药、定期复查、改变不良生活方式等治疗依从性程度均有改善(P<0.05),肝功能方面包括转氨酶、胆红素均有明显改善(P<0.05)。结论在常规药物治疗基础上配合心理干预,能显著提高慢性乙型肝炎患者的治疗依从性和治疗效果。
Objective To investigate theinfluence of psychological intervention on treatmentadherence and treatment effect of patients with chronic hepatitis B. Methods One hundred patients with chronic hepatitis B were randomly divided into intervention group （ n =50 ） and control group （ n =50 ） using random number table method from August 2012 to July 2014 in Taian Centunderwent conventional hepatoprotective and antiviral therapy. Intervention group underwent conventional therapy and psychological intervention. The major psychological intervention methods for patients withhepatitis B included knowledge propaganda and psychological counseling,and communication witli patientswith enthusiasm sincere attitude. Mann-Whitney U test was used to analyze the difference of treatmentadherence such as prescribed medication,regular reexamination and change of unhethe two groups. Two independent-samples T test was used to analyze the difference of liver functhe two groups. Results Before psychological intervention,there was no difference in the treatmentadherence and therapeutic effect between the two groups （ P 〉 0. 05 ） . After psychological treatment adherence of intervention group such as prescribed medication,regular reexamination unhealthy life styles improved（P 〈0. 05 ）,and the liver function of intervention group such as transaminaseand bilirubin also improved（ P 〈0. 05） . Conclusion Psychological intervention on the basisdrug treatment can significantly improve the treatment adherence and therapeutic effect of patients.
出处
《中华消化病与影像杂志（电子版）》
2017年第4期163-166,共4页
Chinese Journal of Digestion and Medical Imageology(Electronic Edition)
关键词
肝炎
乙型
心理干预
治疗依从性
治疗效果
Hepatitis B
Psychological intervention
Treatment adherence
Treatment effect
