摘要
目的 分析个体化营养支持方案联合结构化心理干预对慢性乙型肝炎肝硬化患者治疗依从性及生活质量的影响。方法 选取我院2023年6月至2025年6月期间符合纳入标准的患者126例随机分为干预组与对照组。对照组接受常规护理，干预组在此基础上实施个体化营养支持计划，同步心理干预。结果 干预组MMAS-8评分、CLDQ总分及各维度评分、SF-36生理健康总评（PCS）与心理健康总评（MCS）均显著高于同期对照组（P＜0.05）。结论 个体化营养支持联合心理干预，能够提升CHB肝硬化患者的治疗依从性，改善其生活质量。
关键词： 慢性乙型肝炎；肝硬化；个体化营养支持；心理干预
Abstract
Objective To analyze the effects of individualized nutritional support program combined with structured psychological intervention on treatment compliance and quality of life in patients with chronic hepatitis B cirrhosis. Methods 126 patients who met the inclusion criteria in our hospital from June 2023 to June 2025 were randomly divided into an intervention group and a control group. The control group received routine care, while the intervention group implemented an individualized nutritional support plan and psychological intervention on this basis. Results The intervention group had significantly higher MMAS-8 scores, CLDQ total scores and dimensions scores, SF-36 Physical Health Score (PCS) and Mental Health Score (MCS) than the control group at the same time (P<0.05). Conclusion Individualized nutritional support combined with psychological intervention can improve the treatment compliance and quality of life of patients with CHB cirrhosis.
Key words： Chronic hepatitis B; Cirrhosis; Individualized nutritional support; Psychological intervention
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