摘要
目的观察乙肝后肝硬化应用跟踪护理的心理状态及服用抗病毒药物治疗依从性。方法临床资料方便采集该院2017年7月—2018年7月肝病科治疗的108例乙肝后肝硬化患者,每组54例,对照组行院内常规护理,观察组在基础行跟踪护理,比较两组HBV-DNA转阴及心理状态、服药依从性、护理满意度。结果观察组护理后HBV-DNA转阴率92.59%比对照组72.22%高(χ^2=7.728 0,P<0.05);观察组护理后SAS(24.74±6.28)分、SDS(27.87±4.32)分比对照组评分低,且治疗依从性评分(6.78±1.23)分比对照组高(t=15.357 2,20.438 0,7.158 9,P<0.05);观察组知识宣教(25.43±5.42)分、出院指导(22.12±5.43)分、出院回访(21.56±5.11)分、服务态度(24.55±3.45)分均比对照组满意评分高(t=11.480 0,11.319 7,10.845 0,14.260 3,P<0.05)。结论乙肝后肝硬化应用跟踪护理能改善患者负面心理,提高抗病毒药物治疗依从性,促进HBV-DNA转阴,改善病情,且提升护理满意度,效果显著。
Objective To observe the psychological state of follow-up nursing after hepatitis B cirrhosis and the compliance with antiviral drugs. Methods Clinical data were convenient collected from 108 patients with post-hepatitis B cirrhosis treated by the Department of Hepatology from July 2017 to July 2018 in our hospital. The control group received routine nursing in the hospital. The observation group followed the basic nursing care and compared the two groups of HBV-DNA negative and psychological status, medication compliance, and nursing satisfaction. Results The HBV-DNA negative rate of observation group was 92.59% higher than that of the control group 72.22%(χ^2=7.728 0,P<0.05). The SAS (24.74±6.28)points and SDS (27.87±4.32) points of the observation group, lower than the control group, and the treatment adherence score (6.78±1.23) points was higher than that of the control group (t=15.357 2, 20.438 0, 7.158 9,P<0.05);observation group knowledge mission (25.43±5.42)points, discharge guidance (22.12±5.43) points, return visits (21.56±5.11) points, and service attitudes (24.55±3.45)points were higher than the control group (t=11.480 0, 11.319 7, 10.845 0, 14.260 3,P<0.05). Conclusion The application of follow-up nursing for post-hepatitis B cirrhosis can improve the negative psychology of patients, improve the compliance of antiviral drugs, promote the conversion of HBV-DNA, improve the condition, and improve the satisfaction of nursing.
作者
付贤云
刘光美
方爱玲
FU Xian-yun;LIU Guang-mei;FANG Ai-ling(Jinan Infectious Disease Hospital, Shandong University, Jinan, Shandong Province, 250021 China)
出处
《中外医疗》
2019年第20期123-125,共3页
China & Foreign Medical Treatment
