结构式心理干预对肝炎患者治疗依从性和心理状态的影响观察

Observation on the effect of structural psychological intervention on the treatment compliance and psychological status of patients with hepatitis

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(1)
作者
作者单位

四川省仪陇县人民医院 ;

摘要
摘要:目的:探讨结构式心理干预对肝炎患者治疗依从性和心理状态的影响观察。方法:选取我院2014年1月至2016年1月期间收治的70例肝炎患者作为本研究对象,按照随机数字表的方法分为观察组(n=35)和对照组(n=35),对照组患者实施常规的护理干预措施,对观察组患者于对照组基础上开展结构式心理干预措施。对患者干预前后的心理症状自评量表(SCL-90)、应对方式以及治疗依从性进行比较。结果:较干预前而言,干预后患者的SCL-90量表评分明显更优,且观察组患者的评分更优于对照组(P<0.05);同时观察组患者的应对方式评分亦更优于对照组(P<0.05);观察组患者的治疗总依从率为91.43%,对照组患者的治疗总依从率为74.29%,两组相比较,差异显著(P<0.05)。结论:结构式心理干预可以有效改善患者的负性情绪,以及提高了患者的治疗依从性以及自我管理健康行为,进而有助于促进患者的治疗和预后生活质量,因而值得临床推广应用。
Abstract
Abstract: Objective: To investigate the effect of structural psychological intervention on the treatment compliance and psychological status of patients with hepatitis. Methods: 70 cases of hepatitis B patients in our hospital from January 2014 to January 2016 were treated as the research object, according to the random number table method divided into observation group (n=35) and control group (n=35), control group with routine nursing intervention, the patients in the observation group than the control group to carry out structural psychological intervention measures based on on. The psychological symptom checklist (SCL-90), coping style and treatment compliance were compared before and after the intervention. Results: compared with before intervention, after the intervention of SCL-90 patients score significantly better, and the patients in the observation group were better than those of the control group (P<0.05); and the coping style of patients in the observation group was also better than the control group (P<0.05); the patients in the observation group treatment compliance rate was 91.43%, patients in the control group total treatment compliance rate was 74.29%, compared with significant difference (P<0.05). Conclusion: psychological intervention can improve negative emotion of patients, and improve the treatment compliance of patients and health behavior of self management, and contribute to the treatment and prognosis of the patients quality of life, so it is worthy of clinical application.
关键词
关键词:结构式心理干预;肝炎;依从性;心理状态
KeyWord
Key words: structural psychological intervention; hepatitis; compliance; psychological status
基金项目
页码 150-153
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吴伟平*,陈洪国,周子熙,余繁荣. 结构式心理干预对肝炎患者治疗依从性和心理状态的影响观察 [J]. 国际精神病学杂志. 2018; 45; (1). 150 - 153.

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