非酒精性脂肪性肝病患者知识、态度和行为的现况调查

Current knowledge, attitudes and behaviors of patients with non-alcoholic fatty liver disease

目的：调查非酒精性脂肪性肝病患者知识、态度和行为现况,分析其存在的问题,为提高非酒精性脂肪性肝病患者健康教育管理及生活方式干预提供依据。方法采取便利抽样法,选取2014年1—9月在消化内科门诊就诊的非酒精性脂肪性肝病患者100例,采用自行设计调查问卷,对患者进行调查,问卷内容包含知识、态度、行为3个维度,并根据问卷调查结果对患者的疾病相关知识、态度和行为的现状进行分析。结果共发放问卷100份,回收100份,回收率为100%。非酒精性脂肪性肝病患者对脂肪肝相关知识回答正确率为59.37%,态度积极的人数占89.00%,行为正确率为44.54%。非酒精性脂肪性肝病患者知识和态度差异有统计学意义（r=0.295,P〈0.05）,知识和行为差异无统计学意义（r=0.078,P〉0.05）,态度和行为差异无统计学意义（r=0.700,P〉0.05）。结论对非酒精性脂肪性肝病患者加强脂肪肝相关知识教育,护士应给予患者行之有效的健康生活方式指导,提升患者的认知水平和自我管理能力,帮助患者纠正不良的生活习惯,提高其生活质量。

Objective To investigate the knowledge, attitude and behavior of patients with non-alcoholic fatty liver disease （ NAFLD） , and analyze the relevant factors and problems, in order to promote the establishment of patient′s health behavior and quality of life. Methods A total of 100 patients with non-alcoholic fatty liver disease in gastroenterology clinic had been selected by convenient sampling method, and were used self-designed questionnaire which contained the knowledge, attitude and behavior of patients with NAFLD to survey and analyzed them. Results A total of 100 questionnaires were surveyed and collected （100% collective rate）. NAFLD patients had 59. 37% accuracy for fatty liver disease relevant knowledge, attitudes accounting for 89. 00% accuracy, behavior 44. 54%. There were statistically significant between patients′knowledge and attitude （r=0. 295, P〈0. 05）, knowledge and behavior （r=0. 295, P〈0. 05）, and without statistical significance between attitude and behavior （r =0. 700, P 〉0. 05）. Conclusions The knowledge of patients with NAFLD still needs to be improved, and the attitudes and lifestyle behaviors need further guidance. Nurses play a significant role in improving the patient′s cognitive level and helping patients establish a correct attitude, correct bad habits, and improve quality of life.