摘要
目的 探讨基于身心并重共护的延续性护理在慢性乙型肝炎活动期患者中的实际应用效果,以便为慢性乙型肝炎活动期患者提供更为科学的护理支持。方法 选取2021年1月-2023年12月医院收治的98例慢性乙型肝炎活动期患者为研究对象,采用基线资料均衡可比的原则将其分为对照组和观察组,每组49例。对照组患者接受常规护理,观察组患者接受基于身心并重共护的延续性护理。比较两组患者护理前及护理3个月后的应对方式问卷(CSQ)评分、自我感受负担量表(SPBS)评分、心理弹性量表(CD-RISC)评分、慢性肝病生活质量(CLDQ)问卷评分。结果 护理3个月后,观察组患者CSQ评分中自责、幻想、退避3个维度评分低于对照组,而求助、解决问题、合理化3个维度评分高于对照组,比较差异具有统计学意义(P<0.05);护理3个月后,观察组患者SPBS量表3个维度的评分均低于对照组,CD-RISC量表5个维度的评分均高于对照组,CLDQ 6个维度的评分均高于对照组,比较差异均具有统计学意义(P<0.05)。结论 基于身心并重共护的延续性护理能提高慢性乙型肝炎活动期患者的应对策略,降低自我感受负担,增强心理弹性并提升生活质量。
Objective To explore the practical application effect of continuity of care based on physical and mental concurrent co-care in patients with chronic hepatitis B in active stage,to provide more scientific nursing support.Methods Ninety-eight patients with active chronic hepatitis B admitted to the hospital from January 2021 to December 2023 were selected as the study subjects,and they were divided into a control group and an observation group,each with 49 cases,according to the principle of balanced and comparable baseline data.The patients in the control group received conventional nursing care,and the patients in the observation group received continuity of care based on physical and mental co-care.The Coping Style Questionnaire(CSQ)scores,Self-Perceived Burden Scale(SPBS)scores,Connor-Davidson Resilience Scale(CD-RISC)scores,and Chronic Liver Disease Quality of life(CLDQ)questionnaire scores of the two groups were compared between the two groups before and after 3 months of care.Results After 3 months of nursing,the CSQ scores of patients in the observation group were lower than those of the control group in the three dimensions of self-blame,fantasy,and withdrawal,while the scores of the three dimensions of help-seeking,problem-solving,and rationalisation were higher than those of the control group,and the difference in the comparisons was statistically significant(P<0.05);the scores of patients in the observation group were lower than those of the control group in the three dimensions of the SPBS,higher than those of the control group in thefive dimensions of the CD-RISC,and higher than those of the control group in thefive dimensions of the CLDQ.After 3 months of nursing,patients in the observation group had lower scores on 3 dimensions of SPBS,higher scores on 5 dimensions of CD-RISC,and higher scores on 6 dimensions of CLDQ than the control group.Conclusion Continuity of care based on mind-body shared care could improve the coping strategies of patients with active chronic hepatitis B,reduce the burden of self-perception,enhance psychological resilience and improve the quality of life.
作者
彭妍
陈允莉
乐美玲
廖晶晶
王菲菲
PENG Yan;CHEN Yunli;LE Meiling;LIAO Jingjing;WANG Feifei(Jianhu Clinical College Jiangsu Pharmaceutical Vocational College,Yancheng 224700,China)
出处
《护理实践与研究》
2025年第10期1461-1467,共7页
Nursing Practice and Research
基金
江苏省科学技术厅自然科学基金基础研究计划项目(编号:BK20200146)。
关键词
身心并重共护
延续性护理
慢性乙型肝炎
活动期
自我感受负担
心理弹性
Body-mind shared care
Continuity of care
Chronic hepatitis B
Active stage
Self-perceived burden
Psychological resilience
