综合护理干预对慢性乙型肝炎病人应对方式和依从性的影响

Influence of comprehensive nursing intervention on coping style and compliance of patients with chronic hepatitis B

[目的]探讨综合护理干预对慢性乙型肝炎病人应对方式和依从性的影响。[方法]选择2011年2月—2015年2月在我院诊治的慢性乙型肝炎病人140例,根据随机数字表法分为治疗组与对照组各70例,两组均给予药物治疗,在治疗期间对照组只接受科室提供的一般健康教育,在此基础上治疗组加用积极的综合护理干预,维持3个月的干预诊治。[结果]干预后对照组有效率为88.57%,治疗组为98.57%,治疗组效果明显高于对照组(P<0.05);两组干预后丙氨酸氨基转移酶(ALT)与天门冬酸氨基转移酶(AST)均较干预前明显下降(P<0.05),且干预后治疗组ALT与AST明显低于对照组(P<0.05);治疗组与对照组干预后应对方式评分分别为44.13分±8.13分和36.98分±7.87分,均明显高于干预前的24.98分±6.82分和24.76分±7.13分,且组间比较差异有统计学意义(P<0.05);干预后治疗组感知、运动、饮食与服药的评分均明显高于对照组(P<0.05)。[结论]综合护理干预在慢性乙型肝炎病人中的应用可促进病人正面应对方式的转变,提高治疗依从性,有利于肝功能恢复,从而有利于综合疗效的提高。

Objective：To probe into the influence of comprehensive nursing intervention on coping style and compliance of patients with chronic hepatitis B. Methods：From February 2011 to February 2015,a total of 140 chronic hepatitis B patients in our hospital were selected and equally divided into treatment group and control group based on the random number table. Two groups were given medical treatment. During the treatment, the patients in control group only accepted general health education, and the patients in treatment group were given actively comprehensive nursing intervention and treatment for three months. Results：The intervention effectiveness rate in treatment group and control group was 98.57% and 88. 57%. The effect of treatment group was better than that in control group （P〈0.05）. The serum glutamic acid aminotransferase（ALT）and aspartate aminotransferase（AST） in the two groups after intervention were shown significant downward trend（P〈0. 05）, while the ALT and AST after intervention in the treatment group were significantly lower than that in control group（P〈0. 05）. The coping scores in treatment group and control group after intervention were 44.13±8.13 and 36.98±7.87 that were significantly higher than those before intervention 24.98±6.82 and 24.76±7.13. The difference between the two groups was statistically significant （P〈0. 05）. After investigation, the perception, exercise, diet and medication scores in treatment group were significantly higher than those in control group（P〈0.05）. Conclusion：Comprehensive nursing intervention in patients with chronic hepatitis B patients can promote positive coping styles change, improve treatment compliance, help restore liver function, and help improve the overall efficacy.