Application of systemic stress management policy in patients with chronic hepatitis B
10.3760/cma.j.issn.1674-2907.2019.24.024
- VernacularTitle:系统性压力管理方案在慢性乙型肝炎患者中的应用
- Author:
Zhaoxia PAN
1
;
Xiaogan CAI
;
Jianping CHEN
Author Information
1. 江苏省盐城市第三人民医院感染科 224001
- Keywords:
Hepatitis,type B;
Quality of life;
Systemic stress management policy;
Stigma;
Treatment compliance
- From:
Chinese Journal of Modern Nursing
2019;25(24):3142-3146
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the influence of systemic stress management policy on the stigma, treatment compliance, and life quality of patients with chronic hepatitis B(CHB). MethodsBy convenience sampling, 110 CHB patients in the Department of Infectious Disease of Yancheng Third People's Hospital from May 2017 to May 2018 were selected and divided into the observation group(n=55) and control group(n=55) according to the random number table. The control group was given conventional nursing intervention, on the basis of that, the observation group was given intervention based on the systemic stress management policy. The two groups were compared in terms of the stigma, treatment compliance before and 2 weeks after intervention, and follow-up visit after 6 month's intervention was conducted to measure and evaluate the patients' quality of life. ResultsA total of 103 valid questionnaires were collected, 52 in observation group and 51 in control group. Before intervention, there was no statistical difference in total scores of "social rejection" , "economic rejection", "inner shame", "social isolation" and stigma as well as treatment compliance between the two groups (P＞ 0.05) ; after intervention, the total score of stigma in the observation group (32.95±5.25) was lower than the control group (76.15±8.68) with statistical difference (P＜ 0.01), moreover the observation group scored lower than the control group in the "social rejection", "inner shame" and "social isolation" with statistical differences (P＜0.01). After intervention for 2 weeks, the treatment compliance of observation group was higher than control group with statistical difference (P＜0.05). Before intervention, there was no statistical difference between the two groups in the scores of life quality and each dimensions(P＞0.05); 6 months after intervention, the observation group were higher than the control group in the scores of quality of life and each dimensions with statistical significances(P＜ 0.01). ConclusionsSystemic stress management policy can effectively improve the CHB patients' stigma and improve their treatment compliance as well as their quality of life, and is worthy of clinical promotion.
