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目的探讨心理干预对慢性乙型肝炎患者肝功能和生活质量的影响。方法实验组50例,在药物治疗的基础上进行心理干预,对照组40例单纯进行常规药物治疗,在干预前后分别测试慢性肝病问卷(CLDQ)和化验肝功,比较两次评估结果,以观察心理干预的效果。结果心理干预前两组患者肝功能、生活质量无差别,干预后两组患者ALT、AST、ALB差别有显著意义,除了腹部症状,生活质量其他各维度都有统计学意义。实验组经过心理干预生活质量各维度都有改善,但对照组生活质量的情感功能指标没有改善。结论在常规药物治疗基础上配合心理干预,可以有效改善慢性乙肝患者的肝功能和生活质量。
Objective To investigate the effects of psychological intervention on liver function and quality of life in patients with chronic hepatitis B. Methods Fifty patients in the experimental group received psychological intervention on the basis of drug treatment. Forty patients in the control group were treated with conventional drugs. Chronic liver disease questionnaire (CLDQ) and liver function were tested before and after the intervention. The results of two assessments were compared to observe Effect of psychological intervention. Results There was no difference in liver function and quality of life between the two groups before psychological intervention. There were significant differences in ALT, AST and ALB between the two groups after intervention, except for abdominal symptoms and other dimensions of quality of life were all statistically significant. The quality of life of the experimental group after psychological intervention has improved in all dimensions, but the quality of life of the control group did not improve the emotional function indicators. Conclusions Based on routine drug treatment and psychological intervention, it can effectively improve the liver function and quality of life in chronic hepatitis B patients.