【摘 要】目的：探讨微信在初次诊断乙肝患者在出院后延续护理中对心理状态的影响。方法：通过组建微信延续护理团队，申请微信公众号，建立“乙肝病友论坛”的微信群聊，对初次诊断为乙肝的患者出院后提供专业资讯、咨询等延续护理服务。出院时及出院后3个月分别予以量表评估，包括汉密顿抑郁量表(Hamilton Depression Scale， HAMD)、漢密顿焦虑量表(Hamilton Anxiety Scale，HAMA)、社会支持评定量表(Social Science Research Solutions SSRS)。30例纳入干预组，干预组患者出院后通过微信平台阅读了解乙肝相关知识，一周集中咨询互动一次自己关心的问题。30例纳入对照组，该组患者无微信相关护理干预。3个月分析比较两组各量表改善的差异。结果：经过微信护理工作介入的乙肝患者HAMD 较对照组差异明显(P<0.01);HAMA差异较对照组差异明显(P<0.01);SSRS较对照组无明显差异(P>0.05)。结论：微信护理工作介入对乙肝出院患者3个月后抑郁和焦虑情绪方面改善显著。提示微信护理工作在乙肝患者情绪方面有积极影响。

【关键词】乙肝;微信;延续护理;心理状态

【中图分类号】R473 【文献标识码】A 【文章编号】1672-3783(2018)08-0005-02
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    The effect of WeChat continuous nursing on the mental status of patients with hepatitis b in the first diagnosis

    QU Ling Hong，GU Mei Hua，Zhu Yue Xiu

    (Shanghai pudong new area infectious disease hospital，Shanghai，201299，China)

【Abstract】Objective：To analysis recent psychological state of hepatitis b patients through WeChat care intervention.Methods：By forming WeChat continue nursing team，apply for WeChat public， establish a "hepatitis b patients BBS" WeChat group chat，for initial diagnosis of hepatitis b patients after discharge to provide professional information， consulting the continuation of nursing service. When out of the hospital and after 3 months ，60 cases of patients with hepatitis b patients， immediate admission to Scale assessment， including the Hamilton Depression rating Scale (Hamilton 'Scale， HAMD)， Hamilton Anxiety Scale (Hamilton Anxiety Scale， HAMA)， Social support rating Scale (Social Science Research Solutions SSRS).30 patients into control group. 30 patients into intervention group read knowledge of hepatitis b related through WeChat platform and consult interaction his concern of the once a week.30 cases in control group， this group of patients without WeChat related nursing intervention. comparing the difference between the two groups of each scale after 3 months.Results ：After the WeChat participatation，The acute phase of cerebral infarction patients with HAMD clear difference than the control group (P<0.01);HAMA differences than the control group significantly (P<0.01);SSRS than the control group no significant difference(P>0.05). Conclusion ：WeChat nursing intervention in patients with hepatitis b hospital anxiety and depression mood improved after 3 months which prompted WeChat nursing in patients with hepatitis b has positive impact on mood., 百拇医药(瞿凌洪 顾美华 祝玉秀)