慢性乙型肝炎患者不遵从医嘱行为的相关性研究及护理对策

Correlative study and nursing strategy on behavior of patients with chronic hepatitis B

目的了解慢性乙型肝炎患者不遵从医嘱行为及相关因素,以采取相应护理措施,提高其治疗效果。方法对本院感染科360例慢性乙型肝炎患者的基本情况及遵医行为进行调查分析。结果有140例患者未能遵医嘱服药、饮食、戒酒、休息、保持情绪稳定等,占调查总数的38.9%。其中,小学及以下文化程度,对疾病不了解,经济收入低,多次住院不遵从医嘱行为人数构成比高,与其他人群比较差异有统计学意义(P<0.05);年龄45岁以下不遵从医嘱行为人数构成比明显升高,与45岁以上人群比较差异有统计学意义(P<0.01);男女性别不遵从医嘱行为人数构成比差异无统计学意义(P>0.05)。结论年龄因素、文化程度低、经济收入低、多次住院及对疾病不了解是不遵从医嘱行为的主要因素。护理人员应根据患者的具体情况采取有针对性的护理措施。

Objective To study correlation factor and nursing strategy on noncompliance behavior of the patients with chronic hepatitis B, so as to improve the curative effect. Methods Fundamental information and noncompliance behavior of 360 cases of chronic hepatitis B were analyzed. Results Of the 360 cases,140 cases（38. 9%） did not abide by taking medicine, drinking and eating, abstaining from alcohol, taking a rest and stabilizing mode under supervision of a physician. Constituent ratio of illiteracy,lacking knowledge on disease, low income, multiple hospitalization were higher（P〈0.05）. Constituent ratio of cases with age older than 45 years was higher than those younger than 45 years（P〈0.01）. There was no difference between male and female（P〉0. 05）. Conclusion Age factor,illiteracy,low income,multiple hospitalizations and lacking knowledge on disease are main factors of noncompliance behavior; nursing staffs should adopt effective nursing strategy according to specific condition of patients.