延续性护理对慢性乙型肝炎患者服用核苷(酸)类药物依从性的影响

Effect of Continuous Nursing on the Compliance of Patients with Chronic Hepatitis B Taking Nucleoside Drugs

目的探讨延续性护理的实施对慢性乙型肝炎患者服用核苷(酸)类药物依从性的影响。方法2015年1-3月,采取便利抽样法选取在第二军医大学长海医院感染科住院服用核苷(酸)类药物治疗的慢性乙型肝炎患者206例为研究对象,按照入院先后顺序将其分为对照组和观察组各103例,对照组患者按常规住院宣教及出院指导,观察组患者在对照组患者的基础上实施有针对性的延续性护理,时间为12个月。比较两组患者药物管理能力和服药依从性、复查率、出院12个月内的再次入院率及观察组患者对延续性护理的满意度。结果两组患者无论是在药物管理还是服药依从性上均出现随着出院时间的推移,差异度明显扩大,具有统计学意义(P<0.05或P<0.01)。两组患者在出院后1、12个月时复诊情况的差异无统计学意义(P>0.05);出院后3、6、9个月时复诊情况的差异均有统计学意义(均P<0.01),两组患者在出院12个月中的再次入院率有统计学意义(P<0.05)。观察组在出院12个月时对延续性护理的评价高。结论延续性护理能有效提高慢性乙型肝炎患者服用核苷(酸)类药物的依从性和对疾病管理能力,减少再次入院率,节约了卫生服务成本,同时还能提高患者对护理服务的满意度。

Objective To explore the effect of continuous nursing on the compliance of patients with chronic hepatitis B taking nucleoside （acid） drugs.Methods By convenience sampling,206 cases were selected and divided into control group and observation group.The control group received routine hospital education and discharge guidance, while observation group received targeted continuity of care for 12 months. The drug management ability and medication compliance, review rate, hospital discharge within 12 months of readmission rate and observation group of patients with continuity of care satisfaction were compared.Results Two groups of patients both in drug management or medication compliance appeared with the discharge time, the difference was significantly expanded, with statistical significance （P〈0.05 or P 〈0.01）. Two groups of patients in the discharge of 1 and 12 months of the reexamination rate was not statistically significant （P〉0.05） ;after discharge at 3,6,9 months when the rate of review was statistically significant （all P〈0.01）.The readmission rate of the two groups was statistically significant in the 12 months after discharge（P〈0.05）.The observation group was highly evaluated for 12 months after discharge.Conclusions Continuous nursing care can effectively improve the patients with chronic hepatitis B with nucleoside （acid） drug compliance and disease management ability,reducing the readmission rate,saving the cost of health services,but also can improve the patients; satisfaction with nursing service.