Application of systemic stress management policy in patients with chronic hepatitis B

Abstract

Objective To explore the influence of systemic stress management policy on the stigma, treatment compliance, and life quality of patients with chronic hepatitis B (CHB) . Methods By convenience sampling, 110 CHB patients in the Department of Infectious Disease of Yancheng Third People's Hospital from May 2017 to May 2018 were selected and divided into the observation group (n=55) and control group (n=55) according to the random number table. The control group was given conventional nursing intervention, on the basis of that, the observation group was given intervention based on the systemic stress management policy. The two groups were compared in terms of the stigma, treatment compliance before and 2 weeks after intervention, and follow-up visit after 6 month's intervention was conducted to measure and evaluate the patients' quality of life. Results A total of 103 valid questionnaires were collected, 52 in observation group and 51 in control group. Before intervention, there was no statistical difference in total scores of social rejection , economic rejection , inner shame , social isolation and stigma as well as treatment compliance between the two groups (P>0.05) ; after intervention, the total score of stigma in the observation group (32.95±5.25) was lower than the control group (76.15±8.68) with statistical difference (P 0.05) ; 6 months after intervention, the observation group were higher than the control group in the scores of quality of life and each dimensions with statistical significances (P<0.01) . Conclusions Systemic stress management policy can effectively improve the CHB patients' stigma and improve their treatment compliance as well as their quality of life, and is worthy of clinical promotion. Key words: Hepatitis, type B; Quality of life; Systemic stress management policy; Stigma; Treatment compliance