叙事护理结合正念减压干预对慢性乙型肝炎病人CPSS评分、MUNSH评分及生活质量的影响

    Effect of narrative nursing combined with mindfulness-based stress reduction intervention on CPSS score, MUNSH score and quality of life in patients with chronic hepatitis B

    • 摘要:
      目的探讨叙事护理结合正念减压干预对慢性乙型肝炎病人中文版压力知觉量表(CPSS)评分、纽芬兰纪念大学幸福度量表(MUNSH)评分及生活质量的影响。
      方法选取98例慢性乙型肝炎病人,按照随机数字表法分成对照组和护理组,各49例,分别采取常规护理及在此基础上实施叙事护理结合正念减压干预。比较2组CPSS评分、MUNSH评分及生活质量。
      结果护理后,2组CPSS评分与护理前相比均明显降低(P < 0.01),且护理组较对照组低(P < 0.01);护理后,护理组MUNSH各因子评分及总分与护理前相比均有改善(P < 0.01),对照组负性因子评分及总分与护理前相比有改善(P < 0.05),且护理组MUNSH各因子评分及总分均较对照组优(P < 0.01);护理后,2组世界卫生组织生存质量测定量表简表(WHOQOL-BREF)各项评分与护理前相比均增高(P < 0.05~P < 0.01),且护理组均较对照组高(P < 0.01)。
      结论对慢性乙型肝炎病人进行叙事护理结合正念减压干预,可显著减轻病人心理压力,明显提高病人主观幸福感,有效提升其生活质量。

       

      Abstract:
      ObjectiveTo explore the narrative nursing combined with mindfulness based stress reduction intervention on Chinese perceived stress scale(CPSS) score, Memorial University of Newfoundland scale of happiness(MUNSH) score and quality of life in patients with chronic hepatitis B.
      MethodsNinety-eight patients with chronic hepatitis B were divided into the control group(n=49) and nursing group(n=49) according to the random number table method, and the control group and nursing group were intervened with conventional nursing and narrative nursing combined with mindfulness-based stress reduction intervention based on the conventional nursing, respectively.The CPSS score, MUNSH score and quality of life were compared between two groups.
      ResultsAfter nursing, the CPSS scores in two groups were lower than that before nursing(P < 0.01), and the CPSS score in nursing group was lower than that in control group(P < 0.01).After nursing, the each factor score and total score of MUNSH in nursing group were improved compared with those before nursing(P < 0.01), the negative factor score and total score in control group were improved compared with those before nursing(P < 0.01), and the each factor score and total score of MUNSH in nursing group were better than those in control group(P < 0.01).After nursing, the scores of WHO quality of life-BREF in two groups were higher than those before nursing(P < 0.05 to P < 0.01), and which in nursing group was higher than that in control group(P < 0.01).
      ConclusionsThe narrative nursing combined with mindfulness-based stress reduction intervention can significantly reduce the psychological pressure, improve the subjective happiness, and effectively improve the quality of life of patients with chronic hepatitis B.

       

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