延续护理对慢性乙型肝炎患者的影响  

Influence of continued care for patients with chronic hepatitis B

作　　者：王芳[1] 邓丽宁 魏丽 唐琳 赵悦 李姗姗 张国顺 侯宏波[1] 尚华[1] 

机构地区：[1]河北省唐山市传染病医院门诊部,063000 [2]河北省联合大学附属医院消化内科

出　　处：《中国医药》2014年第10期1489-1491,共3页China Medicine

基　　金：河北省唐山市科学技术研究与发展计划项目（12150220B-2）

摘　　要：目的 探讨延续护理对慢性乙型肝炎患者的影响.方法 将2010年6月至2012年1月河北省唐山市传染病医院120例慢性乙型肝炎患者按随机数字表法分为2组,延续护理组60例,对照组60例.对照组给予出院指导、定期复查、随访1次后未再联系;延续护理组执行延续护理,出院后3个月内每个月随访2次,以后每个月随访1次,共随访18个月.观察2组患者18个月后依从性、再住院时间、再住院费用、满意度情况.结果 延续护理组依从性、满意度、再住院时间、再住院费用与对照组比较[63.3％ （38/60）比41.7％ （25/60）;75.0％ （45/60）比46.7％ （28/60）; （28±11）d比（34±16）d;（0.8±0.4）万元比（1.0±0.5）万元],差异均有统计学意义（均P ＜0.05）.结论 延续护理有效提高了慢性乙型肝炎患者的依从性,降低了再住院率,减轻了经济负担,提高了患者的满意度.Objective To investigate the effect of continued care on chronic hepatitis B.Methods From June 2010 to January 2012,120 patients were randomly divided into 2 groups：continued nursing group （60 cases） and control group （60 cases）.The patients in control group were given hospital discharge guidance,regular review and no contact again after one time follow-up; those in continued nursing group were given continued nursing care.After 18 months,length of hospital stay and hospital costs,the degree of satisfaction were analyzed in both groups.Results There was statistical significance in compliance,satisfaction,length of hospital stay and hospital costs between the continue nursing group and the control group [63.3% （38/60） vs 41.7% （25/60） ;75.0% （45/60）vs 46.7% （28/60） ; （28 ± 11） d vs （34 ± 16） d ; （0.8 ± 0.4） ten thousand yuan vs （1.0 ± 0.5） ten thousand yuan] （All P 〈 0.05）.Conclusion Continued nursing care can effectively improve the compliance of patients with chronic hepatitis B,reduce the rate of hospitalization,reduce the financial burden and improve patient satisfaction.

关 键 词：延续护理 慢性乙型肝炎 影响 

分 类 号：R512.62[医药卫生—内科学]