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目的:探讨脂肪肝患者自恃心理程度及综合干预效果。方法:选择2009年1月~2010年6月来我院体检,查出符合中华医学会肝脏病学会脂肪肝和酒精性肝病学组制定的酒精性与非酒精性肝病诊断标准的脂肪肝患者120例为调查对象,采用自行设计的《脂肪肝患者自恃心理程度调查问卷》进行问卷调查,随机分为观察组和对照组各60例,对照组给予常规健康教育干预,观察组采取综合干预管理方法,建立以医护、患者、家属三者共同对疾病合作管理的模式。观察两组患者自恃心理程度、BM、ITG、肝脏B超结果有无差异。结果:脂肪肝患者自恃心理程度较重,积分均值是(1.88±0.11),积分较高,且普遍存在;两组患者自恃心理程度、BM、ITG、肝脏B超结果比较均有显著差异(P<0.05)。结论:脂肪肝患者自恃心理的存在影响患者康复;综合干预能有效降低患者自恃心理程度,提高健康知识和自我管理水平;减少脂肪肝的恶化,改善生活质量。
Objective: To investigate the psychological degree of patients with fatty liver and the effect of comprehensive intervention. Methods: From January 2009 to June 2010 to our hospital physical examination, found in line with the Chinese Medical Association of Hepatology Fatty liver and alcoholic liver disease group developed alcoholic and non-alcoholic liver disease diagnostic criteria for patients with fatty liver 120 Cases were investigated, using self-designed “patients with fatty liver self-reliance questionnaire” questionnaire were randomly divided into observation group and control group of 60 cases, the control group were given conventional health education intervention, the observation group to take an integrated intervention management , And establish a model of joint management of disease with health care, patients and their families. There was no difference between the two groups in the degree of psychological dependence, BM, ITG, and liver B-ultrasound results. Results: Patients with fatty liver had a higher degree of psychological dependence, with a mean score of (1.88 ± 0.11), higher scores and prevalence. Patients in the two groups had significant differences in mental status, BM, ITG and liver ultrasonography (P <0.05). Conclusion: The existence of self-reliance patients with fatty liver affects the rehabilitation of patients. The comprehensive intervention can effectively reduce the patient’s self-confidence, improve their health knowledge and self-management level, reduce the deterioration of fatty liver and improve their quality of life.