摘要
目的 探讨授权教育饮食联合心理干预在病毒性肝炎后肝硬化患者中的应用效果。方法 选取2020年1月-2021年1月浙江大学医学院附属第二医院临平院区感染科收治的病毒性肝炎后肝硬化患者120例,以随机数字表法分为研究组、对照组各60例。对照组按照常规护理流程进行干预,研究组在常规护理的基础上实施授权教育饮食联合心理干预,2组患者均干预3个月。观察比较2组患者干预前后健康知识与遵医行为评分,肝功能指标、营养状况指标。结果 干预后,2组健康知识评分较干预前提高且研究组高于对照组,同时2组遵医行为评分较干预前提高且研究组高于对照组(均P<0.05);干预后,研究组患者ALT、总胆红素(TBIL)低于对照组[(51.03±6.62) U/L vs.(55.27±6.71) U/L,(54.87±8.54)μmol/L vs.(60.33±8.61)μmol/L,均P<0.05];研究组Alb、Hb、BMI水平高于对照组[(31.02±5.08) g/L vs.(21.56±4.78) g/L,(114.07±11.09) g/L vs.(101.95±10.87) g/L,21.25±2.04 vs.20.07±2.01,均P<0.05]。结论 给予病毒性肝炎后肝硬化患者授权教育饮食联合心理干预,可提高患者对疾病健康知识认知与遵医行为,改善营养状况,继而改善肝功能。
Objective To examine the effect of authorised educational diet combined with psychological intervention in viral post-hepatitic cirrhosis.Methods We selected a total of 120 patients with viral post-hepatitis cirrhosis who were admitted to the Department of Infectious Diseases,Linping Hospital,the Second Affiliated Hospital of Zhejiang University School of Medicine from January 2020 to January 2021.They were randomly divided into a study group and a control group with 60 cases each through random-number-table method.The control group followed the routine nursing care,and the research group performed authorised education diet combined with psychological intervention for 3 months on the basis of routine nursing.Before and after the intervention,the relevant health knowledge and compliance behaviour of patients were scored,and liver-function index and nutritional-status index of patients were observed.Results After the intervention,the health knowledge score of the two groups was higher than that before the intervention,and the study group was higher than that of the control group,at the same time,the compliance behavior score of the two groups was higher than that before the intervention,and the study group was higher than that of the control group(all P<0.05).After intervention,ALT and TBIL in the study group were lower than those in the control group[(51.03±6.62)U/L vs.(55.27±6.71)U/L,(54.87±8.54)μmol/L vs.(60.33±8.61)μmol/L,all P<0.05];The levels of Alb,Hb and BMI in the study group were higher than those in the control group[(31.02±5.08)g/L vs.(21.56±4.78)g/L,(114.07±11.09)g/L vs.(101.95±10.87)g/L,21.25±2.04 vs.20.07±2.01,all P<0.05].Conclusion Authorised education diet combined with psychological intervention for patients with viral post-hepatitis cirrhosis can improve their cognition of disease health knowledge and compliance behaviour,nutritional status,and liver function.
作者
陈秀
余建平
翁芳芳
潘孝本
CHEN Xiu;YU Jian-ping;WENG Fang-fang;PAN Xiao-ben(Department of Infectious Disease,Linping District,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou,Zhejiang 311100,China)
出处
《中华全科医学》
2022年第9期1535-1537,1586,共4页
Chinese Journal of General Practice
基金
国家自然科学基金常规面上项目(82070610)。
关键词
病毒性肝炎
肝硬化
授权教育
饮食干预
心理干预
肝功能
营养状况
Viral hepatitis
Cirrhosis
Authorised education
Dietary intervention
Psychological intervention
Liver function
Nutritional status
