延续护理对乙肝后肝硬化患者遵医依从性的影响

The extended care's effect on obedience to doctor from patients with cirrhosis after hepatitis B

目的探讨延续护理对乙肝后肝硬化患者依从性的影响。方法对51例乙肝后肝硬化住院患者,出院后采用家庭访诊、电话随访、定期来院复诊咨询等方法对肝硬化患者及家庭照顾者进行护理指导。分别在6个月和1年后对患者出依从性以平均得分进行比较,在对数据进行了正态分布和齐性方差分析处理以后,全部资料采用SPSS19.5统计软件进行重复测量设计资料的方差分析和LSD-t检验,检验水准α=0.05。结果统计结果显示,患者通过延续护理其遵医依从性有明显提高,0.5年后与出院时比较具有统计学差异(P<0.05);1年后与出院时比较具有统计学意义(P<0.05)。结论对肝硬化患者出院后实施延续护理,能够有效提高其遵医行为。

Objective To investigate the impact of extended care for patients with liver cirrhosis after compliance. Methods Cirrhotic patients and family caregivers were received nursing guidance by home visits after discharge diagnosis, telephone follow-up, refer to hospital regularly consulting methods in 51 cases of liver cirrhosis after hospitalized patients. The average score of respectively at 6 months and 1 year after the compliance were compared, the data was received the normal distribution and homogeneity of variance analysis, all the data was received repeated measures using SPSS 19.5 statistical software for data variance design analysis andLSD-t test, test level α=0.05. Results Statistical results showed that compliance behaviors patients with continue caring were obviously increased, the difference between 0.5 years and discharge was statistically significant （P〈0.05）; the difference between discharge and after one year was statistically significant （P〈0.05）.ConclusionAfter the implementation of the extended care hospital discharge in patients with cirrhosis, can effectively improve compliance behaviors to doctors.