慢性乙型肝炎患者的社区护理随访依从性调查研究  

A survey research of compliance of community nursing follow-up in chronic hepatitis B patients

作　　者：魏寓之 WEI Yuzhi(Prevention and Health Care Department of Huaihaizhonglu Street Community Health Service Center of Huangpu District,Shanghai 200025,China)

机构地区：[1]上海市黄浦区淮海中路街道社区卫生服务中心预防保健科,上海200025

出　　处：《上海医药》2024年第2期17-19,23,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:对上海市黄浦区淮海中路街道社区卫生服务中心慢性乙型肝炎患者开展社区护理随访依从性调查。方法:于2020年1月—2022年12月期间采用整群抽样方法选取在上海市二、三级医疗机构就诊并被诊断为慢性乙型肝炎的患者作为调查对象,采用社区护理随访调查表对其进行电话或面对面调查。结果:127例慢性乙型肝炎患者中,高依从性患者61例(48.0%),中低依从性患者66例(52.0%),对慢性乙型肝炎患者社区护理随访依从性具有一定影响的因素包括性别、年龄、学历、在职状况、个人月收入、居住状况、医疗保险类型、社区护理随访接受情况、病程时长、用药情况、治疗慢性乙型肝炎药物的延伸处方使用情况、实验室指标复查周期、复诊医疗机构、最近一次肝功能指标检查结果。结论:建议通过以下措施提升慢性乙型肝炎患者的社区护理随访依从性:(1)丰富社区护理随访及健康宣教形式;(2)提升社区护理随访护士的专业素养;(3)多配备慢性乙型肝炎一线常用治疗药物;(4)联合家庭医生团队共同开展随访工作。Objective:To conduct a survey of the compliance of community nursing follow-up for patients with chronic hepatitis B(CHB)in Huaihaizhonglu Community Health Service Center of Huangpu District in Shanghai.Methods:From January 2020 to December 2022,patients diagnosed as CHB in secondary or tertiary medical institutions in Shanghai were selected as this survey objects by cluster sampling method,and interviewed by telephone or face-to-face with community nursing follow-up questionnaire.Results:Among 127 patients with CHB,there were 61(48.0%)had higher compliance and 66(52.0%)had middle and lower compliance,the factors influencing the compliance of community nursing follow-up of patients with CHB included gender,age,education,employment status,personal monthly income,living status,type of medical insurance,acceptance of community nursing follow-up,duration of disease,medication status,use of extended prescription of medicine for CHB,laboratory indicators reexamination period,choice of medical institutions for follow-up treatment,and the results of the latest liver function tests.Conclusion:The adoption of the following measures is recommended to improve the follow-up compliance of community nursing for CHB:(1)Diversifying the forms of community nursing follow-up and health education;(2)Improving the professional quality of community follow-up nurses;(3)Providing more first-line commonly used medicines for CHB;(4)Cooperating with the general practitioner team to carry out the follow-up work.

关 键 词：慢性乙型肝炎 社区护理随访 依从性 

分 类 号：R512.62[医药卫生—内科学]