问题导向护理管理模式对慢性乙型病毒性肝炎患者负性情绪及生活质量的影响

Effect of Problem-Based Nursing Management on Negative Emotions and Quality of Life in Patients with Chronic Hepatitis B

摘要: 目的：探析问题导向护理管理模式对慢性乙型病毒性肝炎患者负性情绪及生活质量的影响。方法：选取慢性乙型病毒性肝炎患者104例随机等分为观察组与对照组，对照组予以基础护理，观察组在此基础上予以问题导向护理管理模式，对比两组患者的护理效果。结果：观察组SCL-90评分包括躯体化(2.41 ± 0.45)、人际关系敏感(2.34 ± 0.28)、焦虑(2.02 ± 0.36)、敌对(1.66 ± 0.23)、抑郁(2.45 ± 0.27)、恐怖(1.47 ± 0.18)、精神病灶(1.44 ± 0.16)等评分均显著低于对照组，两组比较差异具有统计学意义(P < 0.05)。观察组SF-36评分包括躯干功能(5.57 ± 0.34)、角色功能(4.89 ± 0.39)、情绪功能(4.67 ± 0.37)、社会功能(4.21 ± 0.28)、生存质量(5.98 ± 0.43)评分均显著高于对照组，两组比较差异具有统计学意义(P < 0.05)。结论：问题导向护理管理模式能够减轻慢性乙型病毒性肝炎患者的负面情绪，改善患者的心理状态，并提高患者的生活质量，值得推广。

Abstract: Objective: To explore the effect of problem-based nursing management on negative emotions and quality of life in patients with chronic hepatitis B. Methods: 104 patients with chronic hepatitis B were randomly divided into the observation group and the control group; the control group was given basic nursing, and the observation group was given the problem oriented nursing management model on this basis, and the nursing effect of the two groups was compared. Results: The scores of SCL-90 scores in the observation group including somatization (2.41 ± 0.45), interpersonal sensitivity (2.34 ± 0.28), anxiety (2.02 ± 0.36), hostility (1.66 ± 0.23), depression (2.45 ± 0.27), terror (1.47 ± 0.18), and mental focus (1.44 ± 2.34) were significantly lower than those in the control group, and the difference was statistically significant (P < 0.05). The SF-36 score of the observation group, including trunk function (5.57 ± 0.34), role function (4.89 ± 0.39), emotional function (4.67 ± 0.37), social function (4.21 ± 0.28), and quality of life (5.98 ± 0.43), were significantly higher than those in the control group, and the difference between the two groups was statistically significant (P < 0.05). Conclusion: The problem oriented nursing management model can reduce the negative emotion of the patients with chronic viral hepatitis B, improve the mental state of the patients and improve the quality of life of the patients, which is worth promoting.