护理干预对慢性乙肝患者治疗依从性的影响分析

The clinical effects of nursing intervention on compliance of patients with chronic hepatitis B

目的探讨护理干预对慢性乙肝患者治疗依从性的影响。方法将79例慢性乙肝患者,随机分为观察组(39例)和对照组(40例)。两组患者均给予干扰素治疗和/或拉米夫定抗病毒治疗,对照组行常规护理,观察组在对照组的基础上,进行系统的综合护理干预。抗病毒治疗1年后,采用自行设计的调查表比较两组患者的依从性。结果观察组完全遵循医嘱者34例,显著高于对照组的27例,差异有统计学意义(χ2=10.08,P<0.01)。结论护理干预可以改善慢性乙肝患者治疗的依从性。

Objective To understand the effects of nursing intervention on the compliance of patients with chronic hepatitis B. Methods 79 patients of chronic hepatitis B were selected and randomly divided into two groups, 39 cases as the experimental group and 40 patients as the control group. Both groups were treated with interferon therapy and / or lamivudine treatment. The control group were given routine care, while the experiental group were given comprehensive nursing intervention in addition to routine care as given to the control group. After 1 year of antiviral therapy, compliance of patients in both groups compared by analyzing the data collected by means of a self - designed questionnaire. Findings 34 cases in the experimental group showed full compliance with doctor＇s orders. The rate of compliance was higher than that of the control group, in which 27 patients showed compliance. The difference was statistically significant （X2 = 10.08, P 〈 0. O1 ）. Conclusion Nursing intervention could improve treatment compliance of chronic hepatitis B patients.