延续性护理对乙肝肝硬化患者治疗和复查依从性的影响

Effects of continuous nursing on compliance of treatment and re-examination in patients with hepatitis B virus-related cirrhosis

目的探讨延续性护理对乙型病毒性肝炎(乙肝)肝硬化患者的治疗和复查依从性的影响。方法选取2015年2月—2016年7月提供延续护理的乙肝肝硬化患者78例设为观察组,另选取同期未给予延续护理的乙肝肝硬化患者106例设为对照组。观察出院后12个月内2组患者治疗和复查的依从性。结果观察组复查病毒载量、肝纤维化超声检查、肝癌筛查的依从率均高于对照组,观察组辅助治疗、合并症治疗依从率高于对照组,差异均有统计学意义(P<0.05)。结论对乙肝肝硬化患者实施延续性护理可以提高患者辅助治疗和复查的依从性。

Objective To investigate the effect of continuous nursing on compliance of treatment and re-examination in patients with hepatitis B virus-related（ HBV） cirrhosis. Methods Totally 78 HBV cirrhosis patients receiving continuous nursing intervention were included as the observation group,another 106 patients without continuous nursing intervention were selected as the control group. The compliance of treatment and re-examination was observed and compared between two groups 12 months after discharge. Results Patients in the observation group had a higher re-examination compliance of virus load test,B-type ultrasonography for hepatic fibrosis and hepatocarcinoma screening compared with those in the control group（ P〈0. 05）. The treatment compliance of adjuvant therapy and complication were higher in the observation group than those in the control group（ P〈0. 05）. Conclusion Continuous nursing intervention can improve the compliance of treatment and re-examination in patients with HBV cirrhosis