干预专案对乙肝病毒感染肝硬化患者自我管理能力的影响

Effect of intervention program on self-management ability of patients with liver cirrhosis infected with hepatitis B virus

目的探讨干预专案对乙肝病毒感染肝硬化患者自我管理能力的影响。方法选取2016年1月~2017年12月在我院住院治疗的乙肝病毒感染肝硬化患者124例作为研究对象,分为对照组和干预专案组,每组各62例,对照组给予传统的干预措施,干预专案组患者给予干预专案干预措施,干预周期为6个月。比较两组患者HBV感染乙肝五项不同模式分布和构成比、自我管理能力、依从性、生活质量。结果干预专案组患者的饮食管理、日常生活管理、病情监测管理、用药管理以及总分均高于对照组,干预专案组患者的随访依从率和服药依从性评分均高于对照组,干预专案组患者的心理功能、躯体功能、物质状态功能以及社会功能的评分均高于对照组,差异均有统计学意义(P<0.05)。结论将干预专案的干预模式应用于乙肝病毒感染的肝硬化患者管理可以有效的提升患者的自我管理能力、治疗依从性和生活质量,值得临床推广。

Objective To investigate the effect of intervention program on self-management ability of patients with liver cirrhosis infected with hepatitis B virus. Methods A total of 124 patients with liver cirrhosis infected with hepatitis B virus who were hospitalized in our hospital from January 2016 to December 2017 were enrolled in the study. They were divided into the control group and the project intervention group, with 62 patients in each group. The control group received traditional intervention measures. Patients in the project intervention group were given intervention program, and the intervention period was 6 months. The distribution and composition ratios of five different patterns of hepatitis B infection, self-management ability, compliance, and quality of life were compared between the two groups. Results The dietary management, daily life management, disease monitoring management, medication management and total score of the project intervention group were higher than those of the control group. The follow-up compliance rate and medication compliance score of the project intervention group were higher than those of the control group. The scores of psychological function, physical function, physical state function and social function of the project intervention group were higher than those of the control group, and the differences were statistically significant(P<0.05). Conclusion The intervention mode of intervention program can be applied to the management of patients with liver cirrhosis infected with hepatitis B virus infection, which can effectively improve the self-management ability, treatment compliance and quality of life of patients, which is worthy of clinical promotion.