Study on the influence of liver fibrosis degree on self-management behavior of patients with fatty liver and nursing intervention strategies
肝纤维化程度对脂肪肝患者自我管理行为的影响及护理干预策略研究

摘要

目的 分析肝纤维化程度对脂肪肝患者自我管理行为产生的影响，并提出有效的护理干预策略，以提升其自我管理行为。方法 抽取本院2024年5月-2025年8月收治的120例脂肪肝患者为研究主体，其均通过瞬时弹性成像检查对其肝纤维化程度进行评估，根据其肝硬度值（LSM），将其分为3组，即无/轻度纤维化组（n=58）、中度纤维化组（n=35）和重度纤维化组（n=27），利用本院自行设计的自我管理行为问卷表进行问卷调查，对比三组患者自我管理行为评分结果，并分析肝纤维化程度与自我管理行为的相关性。结果 与无/轻度纤维化组对比，中度纤维化组及重度纤维化组自我管理行为评分更低，而重度纤维化组评分低于中度纤维化组（P＜0.05）；Person相关性分析发现，自我管理行为评分与LSM呈负相关（P＜0.05）。结论 脂肪肝患者的肝纤维化程度与自我管理行为呈负相关，即肝纤维化越严重，患者自我管理行为则越差。护理人员可根据患者的肝纤维化程度，对其采取个体化护理干预措施，以改善患者预后。

Abstract

Objective To analyze the impact of liver fibrosis on self-management behavior in patients with fatty liver, and propose effective nursing intervention strategies to enhance their self-management behavior.
Methods 120 patients with fatty liver admitted to our hospital from May 2024 to August 2025 were selected as the research subjects. Their liver fibrosis degree was evaluated by transient elastography. According to their liver stiffness values (LSM), they were divided into three groups: no/mild fibrosis group (n=58), moderate fibrosis group (n=35), and severe fibrosis group (n=27). The self-administered behavior questionnaire designed by our hospital was used for questionnaire survey, and the results of self-management behavior scores were compared among the three groups of patients. The correlation between liver fibrosis degree and self-management behavior was analyzed.
Results Compared with the no/mild fibrosis group, the moderate fibrosis group and severe fibrosis group had lower self-management behavior scores, while the severe fibrosis group had lower scores than the moderate fibrosis group (P<0.05); Person correlation analysis found a negative correlation between self-management behavior scores and LSM (P<0.05).
Conclusion   The degree of liver fibrosis in patients with fatty liver is negatively correlated with self-management behavior, meaning that the more severe the liver fibrosis, the worse the patient’s self-management behavior. Nursing staff can adopt individualized nursing interventions based on the degree of liver fibrosis in patients to improve their prognosis.