Interventional Effect Of PBL Health Education On Self-perceived Burden In Patients With Liver Cirrhosis

Objective:In this study,patients with liver cirrhosis as the subjects,according to the level of their self-perceived burden,to explore the effect of PBL type health education on reducing their self-perceived burden,reducing their psychological pain,improving their life satisfaction and other aspects,so as to provide reference for clinical medical workers to take effective intervention measures.Methods:From November 2019 to February 2020,84 patients with liver cirrhosis who agreed to be enrolled in a tertiary A hospital in Shanxi Province were selected and randomly divided into control group(conventional health education)and experimental group(conventional+PBL health education),42 cases in each group,All subjects received the same intervention time.Data were collected by self-perceived burden scale(SPBS),psychache scale(PAS)and satisfaction with life scale(SWLS)at baseline and 3 months after intervention.After the intervention,the self comparison of the control group before and after the intervention,the self comparison of the experimental group before and after the intervention,and the comparison between the control group and the experimental group after the intervention were carried out.All data were analyzed by SPSS21.0 statistical software.Mean±standard deviation,frequency and constituent ratio were used for statistical description.Two-sample independent t-test,paired t-test and non-parametric Wilcoxon rank sum test were used for statistical inference.P<0.05 was taken as the difference with statistical significance.Results:1.Before the intervention,there were no differences between the two groups in the proportion of men and women,Married or not,employment,per capita monthly income of family,payment method of medical expenses and merger of other chronic diseases[X~2=(0.104～0.288),P=(0.591～0.747)];The two groups were also balanced and comparable in education level,living style,self-care level,health status of main caregivers,disease duration and hospitalization times[Z=(0.088～0.923),P=(0.356～0.930)];And comparison of the scores of the two groups on the self-perceived burden scale(SPBS),psychache scale(PAS),and satisfaction with life scale(SWLS)[t=(0.084～1.197),P=(0.242～0.933)],There is no significant difference(P>0.05),which is comparable.2.Before and after the intervention,the control group’s total score on the self-perceived burden scale(SPBS)[(38.28±2.40)VS(29.69±2.01),t=24.550,P=0.000]and body dimension[(18.26±1.85)VS(14.54±1.79),t=13.779,P=0.000],emotional dimension[(15.92±1.38)VS(12.03±1.48),t=17.490,P=0.000],economic dimension[(4.10±0.55)VS(3.13±0.62),t=10.414,P=0.000],psychache scale(PAS)[(35.05±2.59)VS(28.08±2.85),t=23.827,P=0.000],satisfaction with life scale(SWLS)[(9.31±1.34)VS(14.31±2.07),t=17.571,P=0.000],the differences are statistically significant(P<0.05).3.Before and after the intervention,the experimental group’s total score on the self-perceived burden scale(SPBS)[(38.73±2.44)VS(20.13±2.79),t=40.839,P=0.000]and body dimension[(18.65±1.58)VS(9.68±1.67),t=31.458,P=0.000],emotional dimension[(15.95±1.47)VS(8.20±2.17),t=23.939,P=0.000],economic dimension[(4.13±0.69)VS(2.25±0.71),t=19.533,P=0.000],psychache scale(PAS)[(35.90±3.70)VS(21.18±2.55),t=29.080,P=0.000],satisfaction with life scale(SWLS)[(9.38±1.68)VS(17.38±1.86),t=29.594,P=0.000],the differences are statistically significant(P<0.05).4.After the intervention,the two groups had a total score of self-perceived burden scale(SPBS)[(20.13±2.79)VS(29.69±2.01),t=17.529,P=0.000],and body dimension[(9.68±1.67)VS(14.54±1.79),t=12.492,P=0.000],emotional dimension[(8.20±2.17)VS(12.03±1.48),t=9.123,P=0.000],economic dimension[(2.25±0.71)VS(3.13±0.62),t=5.885,P=0.000],psychache scale(PAS)[(21.18±2.55)VS(28.08±2.85),t=11.347,P=0.000],satisfaction with life scale(SWLS)[(17.38±1.86)VS(14.31±2.07),t=6.923,P=0.000],the differences were statistically significant(P<0.05).Conclusion:1.Patients with liver cirrhosis have very prominent problems of self-perceived burden and psychological pain,and low life satisfaction.2.PBL health education intervention methods can effectively reduce the self-perceived burden of patients with liver cirrhosis,alleviate their psychological pain,and improve their life satisfaction.3.PBL health education has certain clinical practical value and is suitable for promotion and use in health education for patients with other chronic diseases.