延伸护理对乙型肝炎肝硬化患者遵医行为及病情的影响

Effect of Extended Nursing on Compliance Behavior and Disease of Patients with Hepatitis B Cirrhosis

目的研究延伸护理对乙型肝炎肝硬化患者遵医行为以及病情的影响.方法在我院选取2017年1月至2019年2月收治的46例乙型肝炎肝硬化患者为研究对象,按照盲抽法将其随机分为相同的两组,即常规组和研究组各23例.常规组患者给予常规护理,研究组患者给予延伸护理.比较两组患者的遵医行为以及病情的变化.结果常规组患者按时服药与生活习惯的评分为(65.38±5.27)分和(62.74±4.76)分,远远低于研究组患者按时服药与生活习惯的评分(84.37±6.12)分和(86.45±5.59)分,P<0.05差异具有统计学意义.常规组患者在护理前的谷丙转氨酶与总胆红素的数值为(118.24±34.57)μmol/L和(67.28±17.95)U/L与研究组患者在护理前的谷丙转氨酶与总胆红素的数值(120.17±36.24)μmol/L和(66.37±19.36)U/L相比较,P>0.05.经过护理后,常规组患者的谷丙转氨酶与总胆红素的数值为(82.68±15.37)μmol/L和(33.58±6.38)U/L,明显高于研究组患者的谷丙转氨酶与总胆红素的数值(35.29±9.27)μmol/L和(16.84±3.64)U/L,P<0.05差异具有统计学意义.结论延伸护理可以帮助乙型肝炎肝硬化患者改善遵医行为,从而有效的稳定患者的病情.

Objective To study the effect of extended nursing on compliance behavior and condition of patients with hepatitis B cirrhosis. Methods Forty-six patients with hepatitis B cirrhosis admitted to our hospital from January 2017 to February 2019 were randomly divided into two groups according to the blind sampling method, that is, 23 cases in the routine group and 23 cases in the research group. Routine nursing was given to the patients in the conventional group, and extended nursing was given to the patients in the study group. Comparisons were made between the two groups of patients’compliance behavior and the changes of their condition. Results The scores of the routine group were (65.38±5.27) and (62.74±4.76), which were significantly lower than those of the study group (84.37±6.12) and (86.45±5.59), P<0.05. The values of alanine aminotransferase and total bilirubin in routine group before nursing were (118.24±34.57)μmol/L and (67.28±17.95) U/L, compared with those of total bilirubin in study group before nursing (120.17±36.24)μmol/L and (66.37±19.36) U/L, P>0.05. After nursing, the values of alanine aminotransferase and total bilirubin in the routine group were (82.68±15.37)μmol/L and (33.58±6.38) U/L, which were significantly higher than those in the study group (35.29±9.27)μmol/L and (16.84±3.64) U/L, P<0.05. Conclusion Extended nursing can help patients with hepatitis B cirrhosis to improve their compliance behavior, so as to effectively stabilize the patient’s condition.