健康教育在慢性乙型肝炎患者中的应用效果

Clinical effects of health education in patients with chronic hepatitis B

目的:探讨健康教育在慢性乙型肝炎患者治疗中的应用效果.方法:选取湖州市中心医院2013-01/2014-12的110例慢性乙型肝炎患者为研究对象,将其按照随机数字表法分为常规组与干预组,常规组实施乙型肝炎的常规治疗与护理,干预组实施针对性的健康教育,住院期间加强交流,了解患者的病情状况,出院给予回访.然后,应用统计学软件SPSS19.0对数据进行分析,观察两组临床用药知识、饮食知识、疾病防治知识和自我疗养知识以及隔离知识等健康知识评分和临床治疗依从性进行对比分析.结果:干预组vs常规组的临床用药知识、饮食知识、疾病防治知识、自我疗养知识、隔离知识的评分为83.3分±7.9分vs 61.3分±5.8分、89.2分±5.7分vs 68.4分±4.9分、83.5分±6.3分vs 3.8分±7.2分、84.7分±5.1分vs66.9分±8.5分、80.5分±8.1分vs 61.5分±5.5分(P<0.05);干预组vs常规组治疗依从性为90.9%vs 70.9%(P<0.05).结论:临床中对于慢性乙型肝炎患者治疗的过程中实施针对性的健康教育是可行的,提高患者对疾病相关知识的认识,从而进一步患者的临床治疗依从性,更好的配合临床治疗,值得临床中应用.

AIM： To assess the clinical ettects or nealth education in the treatment of chronic hepatitis B patients. METHODS： One hundred and ten chronic hepatitis B patients treated at Huzhou Central Hospital from January 2013 to December 2014 were selected and randomly divided into a control group and a study group. Thecontrol group received conventional hepatitis B treatment and care, and the study group received targeted health education, including strengthening exchanges during hospitalization, understanding the disease status of patients, and giving a return visit after discharge. The patients＇ knowledge regarding clinical drugs, diet, disease prevention, self-care, and isolation as well as patient compliance were compared for the two groups. RESULTS： The scores 0f patients＇ knowledge regarding clinical drugs, diet, disease prevention, self-care, and isolation were significantly better in the study group than in the control group （83.3 points ±7.9 points vs 61.3 points ±5.8 points, 89.2 points ± 5.7 points vs 68.4 points ± 4.9 points, 83.5 points ± 6.3 points vs 3.8 points ±7.2 points, 84.7 points ± 5.1 points vs 66.9 points ±8.5 points, 80.5 points ± 8.1 points vs 61,5 points ±5.5 points; P 〈 0.05）. The rate of patient compliance was significantly higher in the study group than in the control groups （90.9% vs 70.9%, P 〈 0.05）. CONCLUSION： The implementation of targeted health education in patients with chronic hepatitis B is feasible and can improve patients＇ understanding of disease-related knowledge and compliance.