Yang Wei, Tian Xiaofeng, Liang Jing
Department of Hepatobiliary and Pancreatic Surgery, China-Japan Union Hospital, Jilin University, Changchun, Jilin, China.
Department of Gastrointestinal and Colorectal Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China.
Evid Based Complement Alternat Med. 2022 Aug 8;2022:6244637. doi: 10.1155/2022/6244637. eCollection 2022.
To investigate the effect of comprehensive nursing combined with high-quality nursing intervention on the compliance, anxiety, and mental state of patients with chronic hepatitis B undergoing antiviral therapy.
A total of 100 patients with chronic hepatitis B admitted to China-Japan Union Hospital from December 2017 to August 2020 were recruited and assigned to receive either routine nursing (control group, = 50) or comprehensive nursing plus high-quality nursing (observation group, = 50) via the random number table method. The outcome measures included compliance, psychological state, and treatment effects.
Before the nursing, there was no significant difference in the compliance scores between the two groups of patients ( > 0.05). After the nursing, the observation group had higher compliance scores than the control group ( < 0.001). Before the intervention, the two groups had similar Self-Rating Anxiety Scale (SAS) scores ( > 0.05). After the intervention, patients in the observation group showed lower SAS scores and a lower incidence of negative emotions as compared to the control group ( < 0.001). The observation group showed a better outcome in terms of quality of life, Medical Coping Modes Questionnaire (MCMQ) scores, and the General Self-Efficacy Scale (GSES) scores when compared to those of the control group ( < 0.001). A higher treatment effective rate was witnessed in the observation group in contrast to the control group ( < 0.001).
The comprehensive nursing model combined with high-quality nursing intervention improves the psychological state and compliance of patients with chronic hepatitis B, with favorable treatment efficiency, which shows good potential for clinical promotion.
探讨综合护理联合优质护理干预对慢性乙型肝炎抗病毒治疗患者依从性、焦虑情绪及心理状态的影响。
选取2017年12月至2020年8月在中国医科大学附属中日联谊医院收治的100例慢性乙型肝炎患者，采用随机数字表法将其分为常规护理组（对照组，n = 50）和综合护理联合优质护理组（观察组，n = 50）。观察指标包括依从性、心理状态和治疗效果。
护理前，两组患者的依从性得分差异无统计学意义（P > 0.05）。护理后，观察组的依从性得分高于对照组（P < 0.001）。干预前，两组患者的焦虑自评量表（SAS）得分相似（P > 0.05）。干预后，观察组患者的SAS得分低于对照组，负面情绪发生率也低于对照组（P < 0.001）。与对照组相比，观察组在生活质量、医学应对方式问卷（MCMQ）得分和一般自我效能感量表（GSES）得分方面表现更好（P < 0.001）。观察组的治疗有效率高于对照组（P < 0.001）。
综合护理模式联合优质护理干预可改善慢性乙型肝炎患者的心理状态和依从性，治疗效果良好，具有良好的临床推广潜力。
