阶段集中护理对慢性乙型肝炎患者肝功能和自我护理能力的影响
Dongcang Hou1, Fei Liu1, Dongjie Hou2
1Department of Gastroenterology, Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Frontiers in medicine
|January 22, 2026
概括
阶段集中护理显著改善肝功能,增强慢性乙型肝炎 (CHB) 患者的自我护理能力. 与常规护理相比,这种方法还可以提高心理性,睡眠质量和整体幸福感.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 护理科学 护理科学
- 患者护理管理 患者护理管理
背景情况:
- 慢性乙型肝炎 (CHB) 带来了多方面的挑战,包括肝功能受损,心理困扰和自我护理能力降低.
- 常规的护理干预可能无法充分解决CHB患者在治疗期间的复杂,多维需求.
研究的目的:
- 评估阶段性集中护理干预对肝功能和CHB患者自我护理能力的有效性.
- 评估分阶段集中护理对心理健康,生活质量和治疗坚持的影响.
主要方法:
- 一项随机对照试验,涉及120名CHB患者,分为对照组 (常规护理) 和研究组 (分阶段集中护理+常规护理).
- 干预的持续时间为一个月,包括对肝功能标志物,心理尺度,自我护理机构,生活质量,睡眠质量,治疗遵从性和护理满意度的全面评估.
主要成果:
- 与对照组相比,研究小组的AST,ALT和TBil水平显著降低 (p<0.01).
- 在研究小组中观察到心理弹性 (CD-RISC),自我护理机构 (ESCA),生活质量 (WHOQOL-BREF) 和主观福祉 (MUNSH) 的提高得分 (p<0.01).
- 研究小组还显示了睡眠质量的改善 (PSQI),更高的治疗遵从性和更高的护理满意度 (p<0.01).
结论:
- 阶段集中护理优于CHB患者的常规护理,显著改善肝功能.
- 这种专门的护理方法极大地提高了心理性,睡眠质量,自我照顾能力和整体生活质量.
- 阶段性集中护理显然改善了治疗遵守性和患者满意度,为CHB提供了卓越的多维管理策略.
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