刘春颖 韩丽娜



综合护理干预对首次住院的慢性乙型肝炎患者心理状态的影响

刘春颖 韩丽娜

【摘要】目的 探讨综合护理干预对首次住院的慢性乙型肝炎患者心理状态的影响。方法 选取100例首次住院的慢性乙型肝炎的患者的临床资料进行回顾总结，根据护理方式的不同，将这些患者随机分为干预组（50例）和常规组（50例）。常规组接受常规护理，干预组在常规护理的基础上实施综合护理干预。结果 护理干预后两组患者的SAS和SDS评分与干预前相比均明显下降，但是干预组与常规组相比下降的更为明显，P＜0.01（其中SAS相比t值为5.250 3，SDS相比t值为3.220 4）。结论 综合护理干预可以明显改善首次住院的慢性乙肝患者的焦虑及抑郁的不良情绪，更有利于提高治疗效果，改善预后。

【关键词】综合护理干预；慢性乙肝患者；焦虑；抑郁

Objective To investigate the influence of comprehensive nursing intervention on the mental state of patients with chronic hepatitis B upon first hospitalization. Methods The clinical data of 100 cases of patients with chronic hepatitis B upon first hospitalization were reviewed and were randomly divided into an intervention group （50 cases） and a conventional group （50 cases） according to the mode of care. Patients in the conventional group were given routine care and the patients in the intervention group were given comprehensive nursing intervention on the basis of routine care. Results The SAS and SDS scores of patients in the two groups decreased significantly compared with those before intervention，while the intervention group underwent a more obvious decline，P＜0.01 （with the t value of SAS being 5.250 3 and the t value of SDS being 3.220 4）. ConclusionComprehensive nursing intervention can significantly alleviate depression，anxiety and other negative emotions in patients with chronic hepatitis B upon first hospitalization，and is thus more conducive to boosting the therapeutic effects and prognosis.

【Key words】 Comprehensive nursing intervention，Chronic hepatitis B patients，Anxiety，Depression

慢性乙型肝炎主要是指由乙肝病毒感染所引发的慢性疾病，具有传染性，病情反复发作，如果不及时进行正规的治疗，会发展成肝硬化甚至肝癌，因此患者的生命健康受到严重威胁，其心理状态会受到严重影响［1］。研究表明，综合护理干预可以提高患者对本病的认知度，增强康复的信心，改善心理状况，从而提高治疗效果［2］。本文选取首次在我院住院的慢性乙型肝炎患者100例，采取分组的形式，分别采用不同的护理方法，以探讨综合护理干预对首次住院慢性乙型肝炎患者心理状态的影响。

1　资料与方法

1.1临床资料

本研究中入组的患者共计100例，均符合2000年全国传染病学与寄生虫学术会议（西安）修订的病毒性肝炎诊断标准，均首次住院。……