摘要
目的探讨个性化综合饮食干预联合多元化心理干预对慢性乙型肝炎肝衰竭患者心理状态、应对方式及预后的影响。方法选取2021年6月至2023年12月我院收治的98例慢性乙型肝炎肝衰竭患者为研究对象,将其随机分为对照组(49例,常规干预)及观察组(49例,在对照组基础上采用个性化综合饮食干预联合多元化心理干预)。比较两组的干预效果。结果干预后,两组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低,且观察组低于对照组(P<0.05)。干预后,两组的回避、屈服评分均降低,面对评分均升高,且观察组优于对照组(P<0.05)。干预后,两组的总胆红素(TBil)、谷丙酸氨基转移酶(ALT)水平均降低,白蛋白(Alb)水平均升高,且观察组优于对照组(P<0.05)。观察组的并发症总发生率为6.12%,明显低于对照组的22.45%(P<0.05)。结论个性化综合饮食干预联合多元化心理干预可提高慢性乙型肝炎肝衰竭患者的心理状态及肝功能,改善其应对方式,降低并发症发生率。
Objective To explore the effects of individualized comprehensive diet intervention combined with diversified psychological intervention on psychological state,coping style and prognosis of patients with chronic hepatitis B liver failure.Methods A total of 98 patients with chronic hepatitis B liver failure admitted in our hospital from June 2021 to December 2023 were selected as study objects and randomly divided into control group(49 cases,routine intervention)and observation group(49 cases,individualized comprehensive diet intervention combined with diversified psychological intervention on the basis of the control group).The intervention effects of the two groups were compared.Results After intervention,the scores of Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).After intervention,the scores of avoidance and yield in the two groups decreased,while the score of confrontation increased,and those in the observation group were better than the control group(P<0.05).After intervention,the levels of total bilirubin(TBil)and alanine aminotransferase(ALT)in the two groups decreased,and the level of albumin(Alb)increased,and those in the observation group were better than the control group(P<0.05).The total incidence of complications in the observation group was 6.12%,which was significantly lower than 22.45%in the control group(P<0.05).Conclusion Individualized comprehensive diet intervention combined with diversified psychological intervention can improve the psychological state and liver function of patients with chronic hepatitis B liver failure,ameliorate their coping style and reduce the incidence of complications.
作者
房莹
FANG Ying(the Second Hospital of Nanjing,Nanjing 210000,China)
出处
《临床医学研究与实践》
2025年第4期163-166,共4页
Clinical Research and Practice
关键词
个性化综合饮食干预
多元化心理干预
慢性乙型肝炎
肝衰竭
individualized comprehensive diet intervention
diversified psychological intervention
chronic hepatitis B
liver failure
