Journal of International Psychiatry

[Abstract] Objective To analyze the changes in self-efficacy, mental health and self-management behaviors of patients with hepatitis B and liver cirrhosis after the application of REBT intervention. Methods 103 patients with hepatitis B and liver cirrhosis in our hospital were selected for research. According to the coin tossing method, they were divided into conventional nursing group and REBT group. 51 patients in the conventional nursing group were treated with conventional nursing intervention, and 52 patients in the REBT group were treated with REBT therapy combined intervention. Psychosomatic symptom self-rating scale score (SCL-90), chronic disease self-efficacy energy scale (CDSES) score, liver function Child-pugh classification, self-management behavior score before and after intervention to evaluate patients mental health, self-efficacy and liver function Change and self-management behavior change. Results The score of SCL-90 in the REBT group was lower than that of the conventional nursing group, and the scores of CDSES and self-management behavior were higher than those of the conventional nursing group. The Child-Pugh classification of liver function was better than that of the conventional nursing group (P<0.05). Conclusion REBT therapy can effectively improve the self-efficacy and self-management behavior of patients with hepatitis B liver cirrhosis, eliminate the patients unhealthy mental state, and promote the recovery of liver function.

[Keywords] rational mood therapy; hepatitis B liver cirrhosis; mental health level; self-efficacy; self-management behavior