Effects of different intervention methods on psychological flexibility, negative emotions and sleep quality in chronic hepatitis B

ARTICLE HIGHLIGHTS

Research background

Chronic hepatitis B (CHB) is an infectious, progressive disease. Patients experience a heavy psychological burden and severe insomnia symptoms.

Research motivation

Patients with CHB urgently require effective nursing interventions to alleviate mental flexibility, negative emotions, and sleep quality problems.

Research objectives

To analyze the effects of acceptance and commitment therapy (ACT) combined with enabling cognitive-behavioral education (ECBE) on mental flexibility, negative emotions, and sleep quality in CHB patients.

Research methods

We retrospectively analyzed the clinical data of 129 patients with CHB and observed changes and differences in Acceptance and Action Questionnaire-2^nd edition (AAQ-II), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Pittsburgh Sleep Quality Index (PSQI), and Exercise of Self-Case Agency Scale (ESCA) scores after routine nursing and ACT combined with ECBE intervention.

Research results

Compared to patients receiving conventional care, the AAQ-II, SAS, SDS, and PSQI scores in patients receiving ACT combined with ECBE were lower and ESCA scores were higher.

Research conclusions

ACT combined with ECBE is effective for CHB patients in China and overcomes the problem of nursing defects in CHB.

Research perspectives

We observed the mental flexibility, negative emotions, and sleep quality of patients with CHB according to two different nursing interventions: routine nursing and ACT combined with ECBE.