Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Oct 19, 2023; 13(10): 753-762
Published online Oct 19, 2023. doi: 10.5498/wjp.v13.i10.753
Effects of different intervention methods on psychological flexibility, negative emotions and sleep quality in chronic hepatitis B
Ying Zheng, Xiao-Wei Wang, Chen-Xi Xia
Ying Zheng, Xiao-Wei Wang, Chen-Xi Xia, Department of Infection, The First People’s Hospital of Wenling, Wenling 317500, Zhejiang Province, China
Author contributions: Zheng Y designed and performed the study and wrote the paper; Xia CX designed the study and supervised the report; Wang XW designed the study and contributed to the analysis.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of The First People’s Hospital of Wenling [Approval No. KY-2023-1032-01].
Informed consent statement: This was a retrospective study and the requirement for informed consent was waived.
Conflict-of-interest statement: The authors declare no conflict of interest.
Data sharing statement: Research data can be obtained from the corresponding author upon reasonable request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Chen-Xi Xia, MBBS, Associate Chief Nurse, Department of Infection, The First People’s Hospital of Wenling, No. 333 Chuanan Road, Chenxi Street, Wenling 317500, Zhejiang Province, China. xiachx001@163.com
Received: August 7, 2023
Peer-review started: August 7, 2023
First decision: August 24, 2023
Revised: September 1, 2023
Accepted: September 11, 2023
Article in press: September 11, 2023
Published online: October 19, 2023
Processing time: 65 Days and 19.9 Hours
Abstract
BACKGROUND

Patients with chronic hepatitis B (CHB) experience various problems, including low psychological flexibility, negative emotions, and poor sleep quality. Therefore, effective nursing interventions are required to reduce adverse events. Acceptance and commitment therapy (ACT) combined with enabling cognitive-behavioral education (ECBE) can improve patients' psychological and sleep. Therefore, we speculate that this may also be effective in patients with CHB.

AIM

To investigate the effects of different intervention methods on psychological flexibility, negative emotions, and sleep quality in patients with CHB.

METHODS

This retrospective study examined clinical and evaluation data of 129 patients with CHB. Intervention methods were divided into a conventional group (routine nursing, n = 69) and a combination group (ACT combined with ECBE, n = 60). We observed changes in psychological flexibility, negative emotions, sleep quality, and self-care ability in both groups. Observation items were evaluated using the Acceptance and Action Questionnaire-2nd Edition (AAQ-II), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Pittsburgh Sleep Quality Index (PSQI), and Exercise of Self-Care Agency Scale (ESCA).

RESULTS

Compared with the conventional group, the AAQ-II score of the combined group was lower (Fbetween-group effect = 8.548; Ftime effects = 25.020; Finteraction effects = 52.930; all P < 0.001), the SAS score (t = 5.445) and SDS score (t = 7.076) were lower (all P < 0.001), as were the PSQI dimensions (tsleep quality = 4.581, tfall sleep time = 2.826, tsleep time = 2.436, tsleep efficiency = 5.787, tsleep disorder = 5.008, thypnotic drugs = 3.786, tdaytime dysfunction = 4.812); all P < 0.05). The ESCA scores for all dimensions were higher (thealth knowledge level = 6.994, tself-concept = 5.902, tself-responsibility = 19.820, tself-care skills = 8.470; all P < 0.001).

CONCLUSION

ACT combined with ECBE in patients with CHB can improve psychological flexibility and sleep quality, alleviate negative emotions, and improve self-care.

Keywords: Acceptance and commitment therapy; Empowerment cognitive-behavioral education; Chronic hepatitis B; Psychological flexibility; Negative emotion; Sleep quality

Core Tip: Chronic hepatitis B (CHB) is an infectious and progressive disease requiring basic treatment supplemented with effective nursing interventions. We analyzed the clinical data of 129 patients with CHB. Acceptance and commitment therapy combined with cognitive-behavioral education improved the psychological flexibility and sleep quality of patients with CHB, relieve negative emotions, and improve self-care ability, making a breakthrough in the problem of insufficient routine care.