延续护理延续护理对于改善慢性乙型肝炎患者的依从性、心理状态与生活质量的作用  

Improvement of compliance, mental state and life quality of patients with chronic hepatitis B by continuing care

作　　者：张晓妮[1] 曹小艳 宋宁 ZHANG Xiaoni;CAO Xiaoyan;SONG Ning(Infectious Disease Department,the First Affiliated Hospital of Medical College of Xi'an Jiaotong University,Xi'an 710061,China)

机构地区：[1]西安交通大学医学院第一附属医院感染科

出　　处：《医药高职教育与现代护理》2019年第6期443-447,共5页Medical Higher Vocational Education and Modern Nursing

摘　　要：目的分析延续护理对于改善慢性乙型肝炎患者依从性、心理状态与生活质量的作用。方法选取西安交通大学医学院第一附属医院2016年1月至2018年1月间收治的102例慢性乙型肝炎患者作为研究对象,按随机数字表分为对照组与观察组,每组51例。对照组采取常规出院护理,观察组在对照组的基础上应用延续护理,于护理6个月后,观察两组患者对于治疗及日常注意事项的依从性、心理状态与生活质量,调查患者对护理工作的满意度,对比两组患者疗效。结果护理6个月后,观察组患者院外遵医用药、定期复查、戒除嗜好、规律作息的依从性均优于对照组(均P<0.05);观察组患者SDS、SAS、TCSQ-NC量表评分均低于对照组(均P<0.05);观察组患者TCSQ-PC评分高于对照组(P<0.05);观察组患者WHOQOL-BREF量表生理、心理、社会关系、环境各维度评分均高于对照组(均P<0.05);观察组患者ALT恢复正常率、HBvDNA转阴率、HBeAg阴转率、HBeAg抗-HBe转换率均高于对照组(均P<0.05);观察组整体满意度优于对照组(P<0.05)。结论延续护理能够有效提高慢性乙型肝炎患者出院后治疗依从性,改善患者的心理状态与生活质量。Objective To explore the effects of continuing care on the improvement of compliance,psychological status and quality of life in patients with chronic hepatitis B.Methods One hundred and two patients with chronic hepatitis B in the First Affiliated Hospital of Medical College of Xi an Jiaotong University were selected from January 2016 to January 2018 who were divided into control group and observation group with 51 cases in each group.The patients in the control group received routine discharge care who were compared with the patients in observation group receiving continuing care on the basis of the intervention of control group in the compliance,psychological status and quality of life after 6 months of nursing.The satisfaction of the patients on nursing work as well as the curative effect between the two groups were compared.Results After 6 months of nursing,patients in the observation group had better compliance on medication,regular review,with drawal habits and regular work and rest compared with the patients in control group(P<0.05).The scores of SDS,SAS and TCSQ-NC in the observation group were lower than those in the control group(P<0.05).The TCSQ-PC score in the observation group was higher than that in the control group(P<0.05).All the dimensions of WHOQOL-BREF in the observation group were higher than those of the control group(P<0.05).In the observation group,the normal rate of ALT recovery,the negative rate of HBvDNA,the negative rate of HBeAg and the anti-HBe conversion rate of HBeAg were higher than those of the control group(P<0.05).The overall satisfaction of the patients in observation group was better than that of the control group(P<0.05).Conclusions Continuous nursing can effectively improve the compliance of patients with chronic hepatitis B as well astheir mental state and quality of life.

关 键 词：慢性乙型肝炎 依从性 心理状态 生活质量 延续护理 

分 类 号：R47[医药卫生—护理学]