个体化延续护理在慢性乙型肝炎患者中的应用

Application of individual extended care in patients with chronic hepatitis B

目的探究个体化延续护理在慢性乙型肝炎(CHB)患者中的应用效果。方法选取2012年6月至2014年6月于本院接受治疗的100例CHB患者为研究对象,随机分为对照组(50例)和观察组(50例)。对照组患者出院后实施常规护理方案,而观察组患者出院后实施个体化延续护理。比较两组患者在出院后治疗的依从性、生存质量和护理满意度。结果观察组患者的治疗依从性显著高于对照组(χ2=4.361、P=0.033),观察组患者按时服药、合理饮食、科学作息、情绪乐观、定期复诊的患者显著多于对照组(P均<0.05);观察组患者的生活质量显著高于对照组(t=2.459、P=0.024),观察组患者的综合性健康、心理健康、躯体功能、生理功能、社会性功能和机体疼痛等的评分均高于对照组(P均<0.05);观察组患者的护理满意率显著高于对照组患者(χ2=4.952、P=0.026)。结论个体化延续护理可以有效地提高患者在出院后的治疗依从性,并改善患者的生活质量,提高患者对于护理的满意度。

Objective To investigate the application effect of individualized extended care in patients with chronic hepatitis B（CHB）. Methods Total of 100 cases with CHB treated in our hospital were selected from June 2012 to June 2014 were randomly divided into the control group（50 cases） and the observation group（50 cases）. Patients in control group were given conventional care after discharge, and implementation of individual patients in the observation group were given extended care after discharge. The case of compliance, quality of life and satisfaction with care of two groups of patients discharged from hospital after treatment were compared, respectively. Results The compliance of treatment group were significantly higher than that of control group（χ^2 = 4.361, P = 0.033）. The number of patients on regular medication, proper diet, rest science, optimistic mood, regular follow up in observation group were significantly more than those in the control group（P all 0.05）. The quality of life in the observation group was significantly higher than that in the control group（t = 2.459, P = 0.024）. The overall health, mental health, physical function, physiological function, social function and pain of the observation group were all significantly higher than those of the control group（P all 〈0.05）. The nursing satisfaction rate in observation group was significantly higher than that of the control group（χ^2 = 4.952, P = 0.026）. Conclusions Individual extended care could improve patients＇ compliance with treatment after discharge, and also improve the quality of life and satisfaction rate for care of the patients.