健康教育干预对非酒精性脂肪肝患者遵医行为及生活质量的影响  

The impact of health education intervention on compliance behavior and quality of life in patients with nonalcoholic fatty liver

作　　者：程霄霄[1] 朱再胜[1] 郑谊[2] 

机构地区：[1]温州医科大学附属第一医院干部保健科,浙江温州325000 [2]温州医科大学附属第一医院感染科,浙江温州325000

出　　处：《中国现代医生》2014年第22期105-108,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2014KYA137)

摘　　要：目的 探讨健康教育干预对非酒精性脂肪肝患者遵医行为及生活质量的影响.方法 选择2012年2月～2014年2月收入我院治疗的非酒精性脂肪肝患者100例,全部入选病例随机分为干预组和对照组,对照组实施常规对症护理,干预组着重实施健康教育干预,包括心理干预、饮食干预、运动干预,比较干预组和对照组患者治疗后的疗效及遵医率、生活质量评分.结果 干预组的疗效显著高于对照组（96.0％vs 76.0％,P＜0.05）.干预组的非酒精性脂肪肝患者在坚持按照医嘱用药、合理饮食、注意休息、戒除烟酒、保持乐观情绪、定期复诊方面的遵医率分别达88.0％、100.0％、94.0％、92.0％、88.0％、82.0％,明显高于对照组（P＜0.05）.出院后1个月,干预组的非酒精性脂肪肝患者生活质量的生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康各项评分均显著高于对照组（P＜0.05）.结论 对非酒精性脂肪肝患者在对症治疗的同时实施系统的健康教育干预措施,可以提高疗效,促进患者的遵医行为,进而提高患者的生活质量.Objective To investigate the impact of health education intervention on compliance behavior and quality of life in patients with nonalcoholic fatty liver. Methods February 2012 to February 2014,selected 100 cases with nonalcoholic fatty liver disease in our hospital ,all patients were randomly divided to the intervention group and the control group, the control group received routine symptomatic care, intervention group focused health education interventions ,included psychological intervention, dietary intervention, exercise intervention, the efficacy and compliance of Medical rate, quality of life scores were compared in the intervention group and the control group after treatment. Results The efficacy of the intervention group was significantly higher among the group （96.0% vs 76.0%, P 〈0.05）. Intervention group patients with nonalcoholic fatty liver medication as prescribed in the stick , proper diet , adequate rest and refrain from smoking, maintaining optimism, regular follow aspects of medical compliance rate of 88.0%, 100.0% ,94.0% ,92.0%, 88.0% ,82.0% ,was significantly higher than the control group （P 〈0.05）. After discharge 1 month, physiology quality, physiological function, bodily pain, general health, energy, social functioning, role emo- tional, mental health scores of non-alcoholic fatty liver patients living in the intervention group were significantly higher than the the control group（P〈O.05）. Conclusion The health education interventions on patients with nonalcoholic fatty liver for symptomatic treatment system can improve efficacy,to promote compliance behavior of patients, thus improving the quality of life of patients.

关 键 词：非酒精性脂肪肝 健康教育 遵医行为 生活质量 

分 类 号：R473.5[医药卫生—护理学]