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

Table 1 Basic data

Group	Gender (n, male/female)	Age (mean ± SD, yr)	Number of units(n, first visit/return visit)	Course of disease (mean ± SD, yr)		Educational level (n)			Child-Pugh grade
				Course of CHB	Course of insomnia	Junior high school and below	High school	Bachelor’s degree and above	Grade A	Grade B
Combination group (n = 60)	38/22	48.36 ± 10.25	19/41	12.25 ± 3.17	2.51 ± 0.86	15	28	17	39	21
Conventional group (n = 69)	41/28	49.21 ± 11.12	24/45	13.07 ± 3.58	2.22 ± 0.88	18	31	20	42	27
χ2/t	0.207	0.449	0.140	1.368	1.887	0.041			0.234
P	0.649	0.654	0.708	0.174	0.061	0.980			0.628

CHB: Chronic hepatitis B.

Table 2 Action Questionnaire-2^nd Edition scores

Time	Combination group (n = 60)	Conventional group (n = 69)	t	P
Before intervention	39.27 ± 6.22	38.72 ± 5.69	0.524	0.601
3 mo after intervention	31.26 ± 7.15	36.28 ± 6.67	4.123	< 0.001
6 mo after intervention	28.11 ± 6.32	33.51 ± 6.63	4.715	< 0.001
F	45.920	11.640	—	—
P	< 0.001	< 0.001	—	—

Table 3 Multiple comparisons of Pittsburgh Sleep Quality Index scores at different time points (Bonferroni)

Group	(I) Time	(J) Time	Mean difference (I-J)	Standard error	P	95%CI
						Lower limit	Upper limit
Combination group
	Before intervention	3 mo after intervention	8.017	1.198	0.001	5.121	10.913
		6 mo after intervention	11.167	1.198	0.001	8.271	14.063
	3 mo after intervention	before intervention	-8.017	1.198	˂0.001	-10.913	-5.121
		6 mo after intervention	3.150	1.198	0.028	0.254	6.046
	6 mo after intervention	Before intervention	-11.167	1.198	0.001	-14.063	-8.271
		3 mo after intervention	-3.150	1.198	0.028	-6.046	-0.254
Conventional group
	Before intervention	3 mo after intervention	2.449	1.080	0.073	-0.157	5.056
		6 mo after intervention	5.217	1.080	0.001	2.611	7.824
	3 mo after intervention	Before intervention	-2.449	1.080	0.073	-5.056	0.157
		6 mo after intervention	2.768	1.080	0.033	0.162	5.375
	6 mo after intervention	Before intervention	-5.217	1.080	0.000	-7.824	-2.611
		3 mo after intervention	-2.768	1.080	0.033	-5.375	-0.162

95%CI: 95% confidence interval.

Table 4 Pittsburgh Sleep Quality Index score

Group and time	Statistics	Sleep quality	Fall sleep time	Sleep time	Sleep efficiency	Sleep disorder	Hypnotic drugs	Daytime dysfunction
Combination group (n = 60)
Before intervention		2.35 ± 0.65	2.43 ± 0.66	2.52 ± 0.61	2.33 ± 0.58	1.98 ± 0.52	2.05 ± 0.52	2.18 ± 0.54
After intervention		0.82 ± 0.421	0.85 ± 0.441	0.78 ± 0.481	0.75 ± 0.461	0.77 ± 0.521	0.86 ± 0.361	1.16 ± 0.311
	t	15.310	15.430	17.360	16.530	12.750	14.570	12.690
	P	0.001	0.001	0.001	0.001	0.001	0.001	0.001
Conventional group (n = 69)
Before intervention		2.26 ± 0.57	2.35 ± 0.62	2.49 ± 0.64	2.29 ± 0.62	1.95 ± 0.47	2.01 ± 0.55	2.15 ± 0.56
After intervention		1.06 ± 0.35	1.06 ± 0.53	0.97 ± 0.58	1.05 ± 0.32	1.02 ± 0.37	1.02 ± 0.22	1.41 ± 0.58
	t	14.900	13.140	14.620	14.760	12.910	13.880	7.624
	P	0.001	0.001	0.001	0.001	0.001	0.001	0.001

¹The index compared with normal group, P < 0.05.