摘要

[摘要]
目的 对酒精性肝病患者给予认知性心理护理干预，探讨其对患者戒酒情况、心理状态及自我效能感的影响。

方法 研究对象为2022年1月~2024年1月来本院就诊的88例酒精性肝病患者，根据简单随机分组法将其分为观察组（n=44，认知性心理护理干预联合常规干预）和对照组（n=44，常规干预）；比较两组干预前后戒酒情况、心理状态、自我效能和护理满意度。

结果 与对照组比，观察组戒酒总依从率较高（P<0.05），观察组干预后焦虑自评量表（Self-rating anxiety scale，SAS）、抑郁自评量表（Self-rating depression Scale，SDS）评分均较低（P<0.05）；2组一般自我效能感量表（General self-efficacy scale，GSES）评分均呈升高趋势（P<0.05）；出院时、干预3个月后，观察组GSES评分均高于对照组（t=4.005、5.188，P<0.05）；与对照组比，观察组护理满意度较高（P<0.05）。

结论 认知性心理护理干预可有效提高酒精性肝病患者戒酒依从性，改善心理状态，提高自我效能，获得较高的护理满意度。

关键词：[关键词]酒精性肝病；认知性心理护理干预；戒酒情况；心理状态；自我效能感

ABSTRACT

[Abstract]
Objective To perform cognitive psychological nursing intervention for patients with alcoholic liver disease (ALD) and explore the influence on alcohol abstinence, psychological status and self-efficacy of patients.

Methods The study subjects were 88 patients with ALD in the hospital from January 2022 to January 2024, and were divided into observation group (n=44, cognitive psychological nursing intervention combined with routine intervention) and control group (n=44, routine intervention) by means of simple random grouping method. The alcohol abstinence, psychological status, self-efficacy and nursing satisfaction were compared between groups before and after intervention.

Results Compared with the control group, the total compliance rate of alcohol abstinence in the observation group was higher (P<0.05) while the scores of self-rating anxiety scale （Self-rating anxiety scale，SAS) and self-rating depression scale (Self-rating depression Scale，SDS) after intervention were lower (P<0.05). The score of general self-efficacy scale (General self-efficacy scale，GSES) in the two groups showed an increasing trend (P<0.05). The GSES scores in the observation group at discharge and after 3 months of intervention were higher than those in the control group (t=4.005, 5.188, P<0.05). The observation group had higher nursing satisfaction than the control group (P<0.05).

Conclusion   Cognitive psychological nursing intervention can effectively enhance the alcohol abstinence compliance in ALD patients, improve the psychological status, strengthen the self-efficacy, and obtain higher nursing satisfaction.

Key words: [Key words] Alcoholic liver disease; Cognitive psychological nursing intervention; Alcohol abstinence; Psychological status; Self-efficacy