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
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-2nd 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.