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赋能心理干预对肝硬化患者心理状态和健康行为的影响

Effect of empowering psychological intervention on mental state and health behavior in patients with liver cirrhosis

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【作者】 范颖英孙娟苗芳

【Author】 Fan Yingying;Sun Juan;Miao Fang;The First Affiliated Hospital of Xinxiang Medical University;

【机构】 新乡医学院第一附属医院

【摘要】 目的 探讨赋能心理干预对肝硬化患者心理状态和健康行为的影响效果。方法 将120例肝硬化患者按照随机数字表法分为研究组与对照组,各60例。对照组给予肝硬化常规干预,研究组在对照组基础上给予赋能心理干预,两组患者干预周期均为4周。比较干预前后两组患者心理状态、健康行为能力、自我管理能力及生活质量变化,统计两组患者相关并发症发生情况。结果 干预后两组患者医院焦虑抑郁量表各维度评分均较干预前降低(P<0.01),且研究组低于对照组,差异均有统计学意义(P<0.01)。干预后两组患者健康行为量表、自我管理能力以及世界卫生组织生活质量简表各维度评分均较干预前升高(P<0.01),且研究组高于对照组,差异均有统计学意义(P<0.01)。研究组患者并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论 赋能心理干预对于肝硬化患者心理状态及健康行为均可产生积极影响。

【Abstract】 Objective To explore the effect of empowering psychological intervention(EPI) on mental state and health behavior of patients with liver cirrhosis(LC). Methods A total of 120 LC patients were divided into research and control group according to random number table, with 60 cases in each group. Both groups received routine intervention for the LC and the observation was plus the EPI for 4 weeks. Changes of such indexes were compared between two groups as pre-and post-intervention psychological states, healthy behavior ability, self-management ability and quality of life, the occurrences of related complications in both groups were counted. Results After the intervention scores on each dimension of the Hospital Anxiety and Depression Scale in both groups lowered compared with pre-intervention(P<0.01),those were lower in research than control group, and differences were statistically significant(P<0.01).After the intervention scores on the Health Promotion Lifestyle, Self-management Ability and World Health Organization Quality of Life elevated compared with pre-intervention(P<0.01),those were higher in research than control group, and differences were statistically significant(P<0.01).The total incidence of complications was lower in research than control group, difference significantly different(P<0.05). Conclusion The EPI has positive effects on mental state and health behavior of LC patients.

【关键词】 肝硬化赋能心理干预心理状态健康行为
【Key words】 LCEPImental statehealthy behavior
【基金】 河南省医学科技攻关计划项目(编号LHGJ20210531)
  • 【文献出处】 临床心身疾病杂志 ,Journal of Clinical Psychosomatic Diseases , 编辑部邮箱 ,2023年05期
  • 【分类号】R473.5
  • 【下载频次】14
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