摘要
目的探讨系统性压力管理方案对慢性乙型肝炎患者病耻感、治疗依从性和生活质量的影响。方法采用方便抽样法选取2017年5月-2018年5月就诊于盐城市第三人民医院感染科的慢性乙型肝炎患者110例,按照随机数字表法分为观察组(55例)和对照组(55例),对照组患者给予常规护理干预,观察组在对照组的基础上给予系统性压力管理方案干预。观察两组患者干预前及干预2周后的病耻感、治疗依从性,并在治疗6个月后随访测量评价患者生活质量。结果共回收有效问卷103份,观察组52例,对照组51例。干预前,两组社会排斥、经济排斥、内在羞耻、社会隔离及病耻感总分、治疗依从性得分比较,差异无统计学意义(P>0.05);干预后,观察组病耻感总分(32.95±5.25)分,低于对照组(76.15±8.68)分,差异有统计学意义(P<0.01),且观察组在社会排斥、内在羞耻及社会隔离方面得分均低于对照组,差异均有统计学意义(P<0.01);干预2周后,观察组治疗依从性高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者生活质量各维度得分比较,差异无统计学意义(P>0.05);干预6个月后,观察组生活质量各维度得分均高于对照组,差异均有统计学意义(P<0.01)。结论系统性压力管理方案可有效改善慢性乙型肝炎患者的病耻感,提高患者的治疗依从性,改善患者生活质量,值得临床推广。
Objective To explore the influence of systemic stress management policy on the stigma,treatment compliance,and life quality of patients with chronic hepatitis B(CHB).Methods By convenience sampling,110 CHB patients in the Department of Infectious Disease of Yancheng Third People's Hospital from May 2017 to May 2018 were selected and divided into the observation group(n=55)and control group(n=55)according to the random number table.The control group was given conventional nursing intervention,on the basis of that,the observation group was given intervention based on the systemic stress management policy.The two groups were compared in terms of the stigma,treatment compliance before and 2 weeks after intervention,and follow-up visit after 6 month's intervention was conducted to measure and evaluate the patients'quality of life.Results A total of 103 valid questionnaires were collected,52 in observation group and 51 in control group.Before intervention,there was no statistical difference in total scores of"social rejection","economic rejection","inner shame","social isolation"and stigma as well as treatment compliance between the two groups(P>0.05);after intervention,the total score of stigma in the observation group(32.95±5.25)was lower than the control group(76.15±8.68)with statistical difference(P<0.01),moreover the observation group scored lower than the control group in the"social rejection","inner shame"and"social isolation"with statistical differences(P<0.01).After intervention for 2 weeks,the treatment compliance of observation group was higher than control group with statistical difference(P<0.05).Before intervention,there was no statistical difference between the two groups in the scores of life quality and each dimensions(P>0.05);6 months after intervention,the observation group were higher than the control group in the scores of quality of life and each dimensions with statistical significances(P<0.01).Conclusions Systemic stress management policy can effectively improve the CHB patients'stigma and imp
作者
潘兆霞
蔡小干
陈建萍
Pan Zhaoxia;Cai Xiaogan;Chen Jianping(Department of Infectious Disease,Yancheng Third People's Hospital,Jiangsu Province,Yancheng 224001,China;Operation Room,Yancheng Third People's Hospital,Jiangsu Province,Yancheng 224001,China)
出处
《中华现代护理杂志》
2019年第24期3142-3146,共5页
Chinese Journal of Modern Nursing
关键词
肝炎
乙型
生活质量
系统性压力管理方案
病耻感
治疗依从性
Hepatitis,type B
Quality of life
Systemic stress management policy
Stigma
Treatment compliance
