基于信息移动网络的健康管理对HBV感染孕妇服药依从性及HBV母婴传播阻断效果的影响  

The Impact of Health Management Based on Information Mobile Networks on Medication Adherence of HBV Infected Pregnant Women and the Effectiveness of Blocking Mother to Child Transmission of HBV

作　　者：陈国兴 王育光 邹来清 CHEN Guoxing;WANG Yuguang;ZOU Laiqing(Department of Gastroenterology,The Sixth People's Hospital of Huizhou,Huizhou 516211,China;Department of Obstetrics and Gynecology,The Sixth People's Hospital of Huizhou,Huizhou 516211,China)

机构地区：[1]惠州市第六人民医院消化内科,惠州516211 [2]惠州市第六人民医院妇产科,惠州516211

出　　处：《中国医药指南》2024年第10期26-28,共3页Guide of China Medicine

基　　金：惠州市科技计划项目(2022CZ010310)。

摘　　要：目的 探讨基于信息移动网络的健康管理在乙型肝炎病毒(HBV)感染孕妇中的应用效果。方法 回顾性纳入惠州市第六人民医院2022年5月至2023年4月收治的HBV感染孕妇72例,按护理方法不同分为两组,各36例。两组均行常规治疗,对照组实施常规健康宣教,观察组实施基于信息移动网络的健康管理,两组均持续观察至孕妇分娩后4周。对比两组服药依从性、HBV理论知识掌握、HBV母婴传播阻断效果及护理满意度。结果 观察组服药依从性高于对照组(94.44%vs. 77.78%,P=0.041);观察组护理后HBV理论知识掌握情况评分为(80.12±7.60)分,高于对照组的(74.60±7.48)分(P=0.003);观察组新生儿HBsAb阳转率高于对照组(88.89%vs. 69.44%,P=0.042),HBsAg阳性率低于对照组(2.78%vs. 22.22%,P=0.033);观察组护理满意度高于对照组(94.44%vs. 77.78%,P=0.041)。结论 基于信息移动网络的健康管理能够提升HBV感染孕妇服药依从性,提升其HBV理论知识掌握水平,获得较好的HBV母婴传播阻断效果,患者护理满意度较高。Objective To explore the application effect of health management based on information mobile network in hepatitis B virus(HBV)infected pregnant women.Methods The clinical data of 72 cases of HBV-infected pregnant women admitted to the Sixth People's Hospital of Huizhou City from May 2022 to April 2023 were retrospectively analyzed and divided into two groups of 36 cases each according to the different methods of care.Both groups were treated routinely,the control group implemented routine health education,and the observation group implemented health management based on information mobile network,and both groups continued to observe until 4 weeks after the delivery of the pregnant women.Both groups were observed until 4 weeks after delivery.Comparisons were made between the two groups in terms of drug adherence,knowledge of HBV theory,HBV mother-to-child transmission interruption effect and nursing satisfaction.Results The medication adherence of the observation group was higher than that of the control group(94.44%vs.77.78%,P=0.041);The score of HBV theoretical knowledge mastery after nursing in the observation group was(80.12±7.60),which was higher than that of the control group(74.60±7.48)(P=0.003);The HBsAb positive conversion rate of newborns in the observation group was higher than that of the control group(88.89%vs.69.44%,P=0.042),and the HBsAg positive rate was lower than that of the control group(2.78%vs.22.22%,P=0.033);The nursing satisfaction of the observation group was higher than that of the control group(94.44%vs.77.78%,P=0.041).Conclusions The health management based on information mobile network can improve the drug adherence of HBV-infected pregnant women,improve their HBV theoretical knowledge,obtain better HBV mother-to-child transmission blocking effect,and have higher patient care satisfaction.

关 键 词：乙型肝炎病毒 孕妇 信息移动网络 健康管理 服药依从性 母婴传播 

分 类 号：R473.71[医药卫生—护理学] R714.251[医药卫生—临床医学]