基于健康意识的护理干预与健康教育在慢性乙型肝炎患者中的应用  

Application of nursing intervention and health education based on health awareness in patients with chronic hepatitis B

作　　者：高娜[1] 郭巧艺 王涛[1] 丁红梅 王利娴 刘考[1] GAO Na;GUO Qiaoyi;WANG Tao;DING Hongmei;WANG Lixian;LIU Kao(Qilu Hospital of Shandong University,Jinan,Shandong,250000,China)

机构地区：[1]山东大学齐鲁医院,山东济南250000

出　　处：《中西医结合护理（中英文）》2023年第4期5-8,共4页Journal of Clinical Nursing in Practice

摘　　要：目的 观察基于健康意识的护理干预与健康教育在慢性乙型肝炎(CHB)患者中的应用效果。方法 回顾性分析2020年4月至2022年6月山东大学齐鲁医院诊治的90例CHB患者的一般资料,根据护理方法的不同分为对照组(45例)与观察组(45例)。对照组给予常规护理,观察组给予基于健康意识的护理干预与健康教育,比较2组的护理效果。结果 护理4周及8周后,观察组的服药依从性均高于同期对照组(P均<0.05)。护理4周及8周后,2组的疾病认知问卷、健康自我管理能力测评量表和特质应对方式问卷表各维度评分均优于护理前(P均<0.05),丙氨酸氨基转移酶、天门冬氨酸氨基转移酶及乙型肝炎病毒脱氧核糖核酸水平均低于护理前(P均<0.05);观察组的上述评分和指标均优于同期对照组(P均<0.05)。结论 基于健康意识的护理干预与健康教育可提高CHB患者的服药依从性及自我管理能力,改善其疾病认知程度、肝功能及应对方式。Objective To observe the application effect of nursing intervention and health education based on the health awareness in patients with chronic hepatitis B(CHB).Methods A retrospective analysis was conducted on 90 CHB patients treated at Qilu Hospital of Shandong University from April 2020 to June 2022.They were divided into a control group(45 cases)and an observation group(45 cases)according to different nursing methods.The control group received routine nursing,while the observation group received nursing intervention and health education based on the health awareness.The nursing effect of the two groups was compared.Results After 4 and 8 weeks of nursing,the medication adherence of the observation group was better than that of the control group on the corresponding period(both P<0.05).After 4 and 8 weeks of nursing,the scores of various dimensions of the Illness Cognitions Questionnaire,Rating Scale of Health Self-Management Skill for Adults,and Trait Coping Style Questionnaire in both groups were better than those before nursing(all P<0.05),and the levels of alanine aminotransferase,aspartate aminotransferase,and hepatitis B virus deoxyribonucleic acid were lower than those before nursing(all P<0.05).The above scores and indicators in the observation group were better than those in the control group on the corresponding period(all P<0.05).Conclusion Nursing intervention and health education based on the health awareness can improve the medication adherence,self-management ability,illness cognition,liver function,and coping style of CHB patients.

关 键 词：慢性乙型肝炎 健康意识 护理干预 健康教育 应用效果 

分 类 号：R512.62[医药卫生—内科学]