症状管理理论下三元联动睡眠管理在乙型肝炎肝硬化患者中的应用

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Application of Triadic Linkage Sleep Management Based on Symptom Management TheoryinPatientswithHepatitisB-relatedLiverCirrhosis

YANG Zhixiang，ZHENG Mengling，XIE Zhihong

（First WardDepartmentofIfectiusDieases，N.9OHspitaloftheJointLgisticsSuportForceuzho350ona）

AbstractObjective：Toevaluate theaplicationof triadic linkage slep management basedonsymptom managementtheoryin patientswithhepatitisB-relatedlivercirhosis.Methods：Atotalof6OpatintswithhepaitisB-relatedlivercirosisadmitedto theFirstWardoftheDepartmentofInfectiousDiseases，No.9OoHospitaloftheJointLogisticsSupportForcefromJanuary2024 to January2O25wereenroledandrandomlydividedintoacontrol groupandanobservationgroupusingarandom number table， with 30patientsineachgroup.Thecontrolgroupreceivedroutine intervention，whiletheobservationgroupreceivedtriadic linkage sleep management basedonsymptom management theory.Changes inslepqualitybeforeandafterintervention wereassessed usingthe Pitsburgh SleepQualityIndex（PSQI）.Improvementin insomniasymptomswasevaluatedusing theAthens Insomnia Scale（AIS），daytime sleepinesswas assessedusing the Stanford Sleepiness Scale（SS），anxiety and depression symptoms were evaluated usingthe HospitalAnxietyand DepressionScale（HADS），andqualityof lifewasaseedusing theChronicLiverDisease Questionaire（CLDQ）.Results：After intervention，PSQI dimensionscores，AISsores，SSSscores，andHADSscores decreased inboth groups，withlower scoresobserved intheobservation group，andthediferences between the two groups were statistically significant（ ）.After intervention，the total CLDQ score decreased in both groups but was higher in the observation group than in the control group，and the difference between the two groups was statistically significant（ P<0.01 ） . Conclusion：Triadic linkage sleep management basedonsymptommanagementtheorycan improve sleepquality，allviate anxietyand depression，and enhance overall quality of life in patients with hepatitis B-related liver cirrhosis.

KeywordsHepatitis B-related liver cirhosis；Triadic linkage sleepmanagement； Symptom management theory； Sleepquality;Psychological status ； Daytime sleepiness ； Insomnia severity；Quality of life

中图分类号： R512.6+2 ;R473.5;R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.12.040

睡眠障碍是乙型肝炎肝硬化患者疾病进展过程中的常见临床表现， 77.5% 的肝硬化患者存在睡眠障碍问题[1-2]。（剩余5428字）