系统性护理干预对乙型病毒性肝炎患者转阴率与肝功能的影响

Effect of Systematic Nursing Intervention on the Seroconversion Rate and Liver Function of Patients with Virus B Hepatitis

目的观察乙型病毒性肝炎患者应用系统性护理干预对转阴率与肝功能的影响。方法选取2016年10月—2017年10月在该院接受治疗的98例乙型病毒性肝炎患者临床资料,按护理方案不同分2组,对照组常规护理,观察组系统性护理,比较两组转阴率及生活质量。结果观察组HBe Ag、HBV-DNA的转阴率46.30%、83.33%均比对照组高(P<0.05);观察组AST、ALT、TBIL含量均比对照组少(t=7.635 6、t=10.926 3、t=4.722 4,P<0.05);观察组护理后躯体功能(74.75±3.32)分、情感功能(72.03±8.99)分、精神状态(72.22±8.80)分及总体健康(76.29±8.47)分均比对照组优(t=10.954 3、t=7.987 8、t=6.160 2、t=11.075 8,P<0.05)。结论乙型病毒性肝炎患者应用系统性护理干预能有效提升病毒转阴率,改善肝功能,提高生活质量,效果显著。

Objective To observe the effect of systematic nursing intervention on the seroconversion rate and liver function of patients with virus B hepatitis.Methods 98 cases of patients with virus B hepatitis admitted and treated in our hospital from October 2016 to October 2017 were selected and divided into two groups according to the different nursing plans,the control group used the routine nursing,while the observation group used the systematic nursing,and the seroconversion rate and quality of life were compared between the two groups.Results The seroconversion rates of HBeAg and HBV-DNA in the observation group were 46.30%,83.33%,which were higher than those in the control group,and the contents of AST,ALT,TBIL in the observation group were lower than those in the control group(t=7.635 6,t=10.926 3,t=4.722 4,P<0.05),and the somatic function,emotional function,mental state,and total health after nursing in the observation group were respectively(74.75±3.32)points,(72.03±8.99)points,(72.22±8.80)points,(76.29±8.47)points,which were better than those in the control group(t=10.954 3,t=7.987 8,t=6.160 2,t=11.075 8,P<0.05).Conclusion The application of systematic nursing intervention in patients with virus B hepatitis can effectively improve the virus seroconversion rate,liver function and quality of life,and the effect is obvious.