护理干预对乙型肝炎肝硬化患者遵医行为及病情的影响

Nursing Intervention in Patients with Hepatitis B Cirrhosis of the Liver as Directed by the Medical Behavior and Effects of the Illness

目的:研究乙型肝炎后肝硬化患者实施早期护理干预措施,对其病情控制及遵医行为的影响。方法:将本院于2015年1月-2016年3月收治的60例乙肝肝硬化患者,按照入院先后顺序将其划分为常规组与干预组,每组各30例,常规组患者接受疾病一般院内治疗与护理服务,干预组在常规组基础上接受全面护理干预,观察两组患者肝功能改善情况,总结患者遵医行为评分及患者对临床服务满意度。结果:常规组患者出院后按时按量服药、良好生活行为、坚持锻炼及病情自我监测指标评分均低于干预组,两组比较差异均有统计学意义(P<0.05)。两组患者治疗前AST、TBIL、ALT等指标值比较差异均无统计学意义(P>0.05);干预后上述指标值常规组均高于干预组,但AST值低于干预组(P<0.05)。常规组患者临床满意度为76.67%,干预组为90.00%,干预组满意度较高,两组比较差异有统计学意义(P<0.05)。结论:对于乙肝后肝硬化患者实施全面优质护理干预服务,大部分患者表示满意度较高,住院期间注重对患者加强健康教育工作,指导正确用药,自我病情监测,坚持健康生活习惯,大部分患者遵医行为较好,患者肝功能指标改善较好。

Objective：To study the early nursing intervention measures in patients with cirrhosis after hepatitis B for the condition control and follow the influence of the medical behavior.Method：60 patients with hepatitis B cirrhosis of the liver in our hospital were selected from January 2015 to March 2016, in accordance with the order on admission they were divided into conventional group and intervention group,30 cases in each group.Conventional group was given general hospital treatment and nursing care,intervention group received comprehensive nursing intervention based on conventional group,the liver function of two groups were observed, the scores according to the medical behavior and patients satisfaction of clinical service of two groups were summarized.Result：Discharged patients in the conventional group after the amount of medication on time, good life behavior, exercise and disease self monitoring index scores were lower than those intervention group, the differences were statistically significant（P〈0.05）.Two groups of patients before treatment AST, TBIL,ALT and other indicators had no statistically significant difference（P〉0.05）; after intervention the above indicators in the conventional group were higher than the intervention group,but the AST value was lower than the intervention group（P〈0.05）. The clinical satisfaction of the conventional group was 76.67%,lower than that of the intervention group 90.00%,the difference was statistically significant（P〈0.05）.Conclusion：For patients with cirrhosis after hepatitis B implementation of comprehensive quality nursing intervention services,the majority of patients satisfaction is high,pay attention to strengthen health education to patients,guiding patients with medication,self condition monitoring,sticking to a healthy lifestyle,the majority of patients according to the medical behavior,patients with liver function index to improve is better.