The Effect Of Nursing Interventions Based On BCW Theory On Self-management And Positive And Negative Emotions In Patients With Cirrhosis

ObjectiveTo explore the effectiveness of nursing interventions based on BCW theory in the population of patients with Child-Pugh class A and B cirrhosis,thus helping to improve self-management and emotional management of patients and providing a reference for the care of patients with cirrhosis.MethodFrom April 2021 to September 2021,102 patients diagnosed with Child-Pugh class A or B cirrhosis were included in the Department of Gastroenterology of the First Affiliated Hospital of Zhengzhou University,51 patients in the control group and 51 patients in the intervention group.The self-management questionnaire and the positive and negative emotion scale were distributed to the cirrhotic patients before,after 3 months and after 6 months of intervention respectively,and the liver function-related indexes were compared between the two groups on three occasions.The data were analyzed using IBM SPSS Statistics 26.0 statistical software.The main statistical methods used were descriptive statistical analysis,t-test,chi-square test and repeated measures ANOVA.The test level was α=0.05.Result1.After excluding the lost-to-review and dropped-out subjects,96 study subjects were finally included to implement the complete intervention and to collect all the data,with 48 cases each in the intervention and control groups.There was no statistical difference between the two groups in terms of gender,age,occupation,education level,income and other general demographic data(P>0.05).2.Comparison of total scores and scores on each dimension of the self-management scale between patients in the control group and the intervention group:the difference in scores between the two groups was not statistically significant before the intervention,and was statistically significant at 3 months after the intervention and at 6 months after the intervention(P<0.05).There was a statistically significant(P<0.05)main effect for the total patient self-management ability score and for each dimension at the time point;a statistically significant(P<0.05)main effect for the group;and an interaction between the time point and group effects(P<0.05).The control group had the highest score at 3 months after the intervention,followed by 6 months after the intervention and the lowest before the intervention,i.e.the score tended to increase first and then decrease;in the intervention group,there was also a significant difference in the scores of each dimension of self-management level and the total score at 3 months after the intervention and 6 months after the intervention(P<0.001),with the highest score at 6 months after the intervention,followed by 3 months after the intervention and the lowest before the intervention,i.e.The scores showed a trend of significant increase followed by a gradual increase.3.Positive and negative mood scale scores in control and intervention groups:positive mood before intervention was(23.94±4.91 vs 25.50±4.21),P>0.05,with no statistical difference;3 months after intervention was(27.88±2.99 vs 40.69±3.91,P<0.05)and 6 months after intervention was(24.25±3.70 vs 41.50±4.29,P<0.05),with statistically significant differences;negative affect was(28.56±3.86 vs 25.38±7.27)before the intervention,P>0.05,with no statistically significant differences,and 3 months after the intervention(24.56±2.90 vs 17.81±6.73,P<0.05)and 6 months after the intervention(25.81±4.42 vs 16.88±6.75,P<0.05),with statistically significant differences.The time effect was statistically significant for both positive and negative mood(P<0.05);the group effect was statistically significant(P<0.05);and there was an interaction between the time and group effects(P<0.05).In the control group,positive mood scores were the highest at 3 months post-intervention,followed by 6 months post-intervention and the lowest at pre-intervention,i.e.,positive mood scores tended to increase and then decrease,while negative mood scores were the highest at pre-intervention,followed by 6 months post-intervention and the lowest at 3 months post-intervention,i.e.,negative mood scores tended to decrease and then increase.In the intervention group,the highest positive mood score was 6 months after the intervention,followed by 3 months after the intervention and the lowest was before the intervention,i.e.,the positive mood score showed a trend of significant increase followed by gradual increase,while the highest negative mood score was before the intervention,followed by 3 months after the intervention and the lowest was 6 months after the intervention,i.e.the negative mood score showed a trend of significant decrease followed by gradual decrease.4.Comparison of liver function-related indexes between the control group and the intervention group:before the intervention,there was no statistically significant difference in glutamate transaminase,total bilirubin and prothrombin time,but 3 months and 6 months after the intervention,there were statistical differences in all three indexes(P<0.05),and all liver function indexes in the intervention group were better than those in the control group.Conclusion1.The nursing intervention based on BCW theory can effectively improve the self-management level of Child-Pugh class A and B cirrhotic patients,and has a significant effect on improving the ability to manage diet,daily life,medication and condition monitoring.2.The nursing intervention based on BCW theory can effectively increase the positive emotions and reduce the negative emotions of patients with Child-Pugh class A and B cirrhosis,improve p patients’ confidence in life and promote their physical and psychological recovery.3.The nursing intervention based on BCW theory can effectively improve the liver function index of Child-Pugh class A and B cirrhotic patients,which is conducive to alleviating the patients’ illness.