延续性护理干预对慢性乙型肝炎患者治疗依从性及生命质量的影响

Effect of continuous nursing intervention on patients with chronic hepatitis B treatment compliance and quality of life

目的评价延续性护理对慢性乙型肝炎患者治疗依从性和生活质量的影响,为降低患者的再住院率、提高治疗效果提供科学依据。方法 2016年1月—2017年1月在绍兴市立医院确诊为慢性乙型肝炎患者133例,按随机数字法分为观察组和对照组,对照组给予常规护理,观察组实施延续性护理,1年后评价患者的治疗依从性和生命质量。结果对照组患者完全依从、部分依从和不依从的比例分别为58.73%、28.57%和12.70%,观察组患者完全依从、部分依从和不依从的比例分别为84.13%、12.70%和3.17%,观察组患者依从性优于对照组(P<0.05),对照组得分最低的前三项依次是健康变化、精力和生理职能,观察组得分最低的前三项依次是健康变化、生理职能和躯体疼痛。对照组和观察组患者在生理机能、躯体疼痛、一般健康状况和生理内容综合测量的得分差异无统计学意义(均P>0.05),而对照组在生理职能、精力、社会功能、情感职能、精神健康、健康变化和心理内容综合测量的得分均低于观察组(均P<0.05)。结论对慢性乙型肝炎患者进行延续性护理可以提高患者的治疗依从性,使患者治疗更加规范,达到更好的远期疗效,对于提高生活质量具有重要意义。

Objective To evaluate the effect of continuous nursing on treatment compliance and quality of life of patients with chronic hepatitis B, and to provide scientific basis for reducing readmission rate and improving treatment. Methods From January 2016 to January 2017, 133 patients with chronic hepatitis B diagnosed in Shaoxing Municipal Hospital were randomly divided into observation group and control group. The control group was given routine nursing care. The observation group was given continuing nursing intervention. One year later, the patients’ treatment compliance and quality of life were evaluated. Results The proportion of complete compliance, partial compliance and non-compliance in the control group was 58.73%, 28.57% and 12.70% respectively. The proportion of complete compliance, partial compliance and non-compliance in the observation group was 84.13%, 12.70% and 3.17% respectively. The compliance in the observation group was better than that in the control group(P<0.05). The first three lowest scores in the control group were health change, energy and physiological function in turn, in the observation group. The first three lowest scores were health change, physiological function and physical pain. There was no significant difference in the scores of physiological function, physical pain, general health status and physiological content between the control group and the observation group(all P>0.05), while the scores of physiological function, energy, social function, emotional function, mental health, health change and psychological content in the control group were lower than those in the observation group(all P<0.05). Conclusion Continuous nursing care for patients with chronic hepatitis B can improve their treatment compliance, make their treatment more standardized and achieve better long-term effect, which is of great significance to improve the quality of life.