慢性乙型肝炎患者治疗依从性现状及其影响因素分析  

Treatment compliance and its influencing factors in patients with chronic hepatitis B

作　　者：张利漫[1] 沙莉[1] 李楠楠[1] 华琳[1] 张立[1] 

机构地区：[1]南京市第二医院,江苏南京210003

出　　处：《现代医学》2016年第1期7-10,共4页Modern Medical Journal

基　　金：南京市医学科技发展项目(YKK13152)

摘　　要：目的:了解慢性乙型肝炎患者治疗依从性现状,分析其影响因素,为制定科学有效的护理干预措施提供依据。方法:使用自制的相关知识调查问卷和治疗依从性问卷对126名慢性乙型肝炎患者进行调查。结果:慢性乙型肝炎患者的治疗依从性得分为(34.17±3.25)分,肝病相关知识得分为(12.38±1.53)分,多元逐步回归分析显示患者的年龄、费用支付方式、文化程度、病程和社会支持对其治疗依从性影响的差异有统计学意义(P<0.05)。结论:慢性乙型肝炎患者治疗依从性较差,患者的年龄、费用支付方式、文化程度、病程和社会支持是其主要的影响因素,应加强健康教育,加强护理干预和社会支持,提高患者的治疗依从性。Objective： To explore the treatment compliance and its influencing factors in patients with chronic hepatitis B,and to provide the basis for the effective nursing. Methods： A total of 126 patients with chronic hepatitis B were investigated by using a self-designed knowledge questionnaire and treatment compliance questionnaire. Results： The score of treatment compliance in patients with chronic hepatitis B was 34. 17 ± 3. 25,and the score of liver-related knowledge was 12. 38 ± 1. 53. Multiple logistic regression analysis showed that the patients’ age,means of payment,educational background,course of disease,and social support influenced their treatment compliance with a statistically significant difference. Conclusion： The treatment compliance in patients with chronic hepatitis B is poor,which is mainly attributed to the patients’ age,means of payment,educational background,course of disease and social support. Health education,nursing intervention and social support play important roles in the improvement of treatment compliance.

关 键 词：慢性乙型肝炎 治疗依从性 影响因素 

分 类 号：R512.62[医药卫生—内科学]