全程护理干预对慢性乙肝患者抗病毒治疗依从性的影响  

Effect of comprehensive nursing intervention on the compliance of antiviral therapy in the patients with chronic hepatitis B

作　　者：范春霞[1] 项英美[1] 田智春[1] 曾娟娟[2] 王树民[1] 

机构地区：[1]浙江省丽水市人民医院感染科,浙江丽水323000 [2]浙江省丽水市人民医院重症医学科,浙江丽水323000

出　　处：《中国现代医生》2017年第26期144-147,共4页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2008WA013)

摘　　要：目的探讨全程护理干预对慢性乙肝患者抗病毒治疗依从性的影响。方法选择我院2014年5月~2016年2月收治的82例慢性乙肝患者作为实验对象,所有慢性乙肝患者采用数字奇偶法分组。对照组:抗病毒治疗期间施以一般性基础护理;观察组:抗病毒治疗期间施以全程护理干预。回顾性分析抗病毒治疗依从性等。结果观察组慢性乙肝患者定期复查依从性以及药物治疗依从性同对照组比较,差异有统计学意义(P<0.05);观察组慢性乙肝患者生活方式改善同对照组比较,差异有统计学意义(P<0.05);观察组慢性乙肝患者护理满意度同对照组比较,差异有统计学意义(P<0.05)。结论对于慢性乙肝患者抗病毒治疗期间积极施以全程护理干预加以配合,可以明显促进定期复查依从性、药物治疗依从性,提高生活方式改善以及满意度,从而优化慢性乙肝患者的预后质量以及生活能力。Objective To investigate the effect of comprehensive nursing intervention on the compliance of antiviral therapy in the patients with chronic hepatitis B. Methods 82 patients with chronic hepatitis B who were admitted to our hospital from May 2014 to February 2016 were selected as subjects. All patients with chronic hepatitis B were assigned to groups according to the odd and even number method. Control group： general nursing care during antiviral treatment; observation group： comprehensive nursing intervention during antiviral treatment. A retrospective analysis was carried out for the compliance of antiviral therapy. Results Compared with the patients with chronic hepatitis B in the control group, the increasing degree of the compliance of regular reexamination and compliance of medication in the observation group was significant（P〈0.05）; in the observation group, the improvement of lifestyle in the patients with chronic hepatitis B was significantly higher than that in the control group（P〈0.05）; the nursing satisfaction in the patients with chronic hepatitis B in the observation group was significantly higher than that in the control group（P〈0.05）.Conclusion In the patients with chronic hepatitis B, the positive comprehensive nursing intervention and good compliance during the antiviral therapy are able to promote the increase of regular reexamination compliance, medication compliance, improvement of lifestyle and the influencing degree of satisfaction, so as to optimize the prognosis quality and life ability in the patients with chronic hepatitis B.

关 键 词：全程护理干预 慢性乙肝 抗病毒治疗 依从性 

分 类 号：R473.5[医药卫生—护理学]