摘要
目的探讨叙事医学干预模式在慢性乙型肝炎(CHB)抗病毒治疗患者中的应用效果。方法前瞻性纳入2021年6月至2022年5月在安阳市第五人民医院接受抗病毒治疗的94例CHB患者作为研究对象,采用随机数字表法将患者分为观察组(47例)和对照组(47例)。对照组接受常规护理干预,观察组接受叙事医学干预模式护理干预,两组均于干预2个月时进行效果评价。比较两组患者干预前、干预2个月时心理健康状况[使用凯斯勒心理困扰量表(K10)评估]、自我效能感[使用一般自我效能感量表(GSES)评估]以及服药依从性[使用中文版Morisky用药依从性问卷(MMAS-8)评估]。结果截至两组患者干预2个月时,观察组退出研究1例,对照组退出研究2例,最终观察组46例,对照组45例完成研究,两组患者一般资料比较,差异无统计学意义(P>0.05)。干预2个月,两组K10评分较干预前降低,GSES评分评分较干预前升高,且观察组K10评分低于对照组,GSES评分高于对照组,差异有统计学意义(P<0.05);观察组干预期间服药整体依从性优于对照组,差异有统计学意义(P<0.05)。结论叙事医学干预模式可改善CHB抗病毒治疗患者的心理健康水平和自我效能感,提高患者服药依从性。
Objective To explore the application effect of narrative medical intervention model in the treatment of chronic hepatitis B(CHB)patients with antiviral therapy.Methods A total of 94 patients with CHB who received antiviral therapy in the Fifth People’s Hospital of Anyang from June 2021 to May 2022 were prospectively included as the study subjects.The patients were divided into observation group(47 cases)and control group(47 cases)by random number table method.The control group adopted routine nursing intervention,the observation group adopted narrative medical intervention mode for nursing intervention,and both groups were evaluated at the time of intervention for 2 months.The mental health status[assessed with the Kessler mental distress scale(K10)],self-efficacy[assessed with general self-efficacy scale(GSES)]and drug compliance[assessed with Morisky drug compliance questionnaire(MMAS-8)in Chinese version]of the two groups of patients before the intervention and 2 months after the intervention was compared.Results By the end of two months of intervention,one patient in the observation group had withdrawn from the study,and two patients in the control group withdrew from the study,and finally 46 patients in the observation group and 45 patients in the control group completed the study.There was no statistical significant difference between the two groups in general data(P>0.05).After 2 months of intervention,the K10 score of the two groups was lower than that before the intervention,and the GSES score was higher than that before the intervention.The K10 score of the observation group was lower than that of the control group,and the GSES score was higher than that of the control group,the difference was statistically significant(P<0.05).During the intervention period,the overall compliance of the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Narrative medicine intervention model can improve the mental health level and self-efficac
作者
刘素红
李艳芳
朱丽君
卫锦绣
LIU Suhong;LI Yanfang;ZHU Lijun;WEI Jinxiu(Department of Infection,the Fifth People’s Hospital of Anyang,Anyang 455000,China)
出处
《河南医学研究》
CAS
2023年第13期2486-2489,共4页
Henan Medical Research
