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目的:探讨乙肝患者自我管理能力干预对自我管理认知和行为及健康状况的影响。方法:选择2011年1月至2011年12月在杭州市第六人民医院门诊就诊的乙肝患者,随机分为实验组和对照组各65例。对实验组患者进行3次一对一的教育,发放乙肝患者自我管理行为手册,并进行每月一次的电话随访。对照组接受常规治疗和护理。分别在干预前、干预3个月和6个月后进行自我管理能力行为及健康状况的调查。结果:干预3个月和6个月后实验组自我管理能力得分比干预前提高,差异有统计学意义(P<0.05);组间比较实验组得分高于对照组,差异有统计学意义(P<0.05)。干预后实验组自我管理能力、肝功能恢复的时间优于对照组,差异有统计学意义(P<0.05)。结论:自我管理能力干预能够提高和改善乙肝患者的自我管理行为和认知。能让患者坚持长期规范治疗,减少疾病复发率,值得在乙肝门诊推广。
Objective: To investigate the influence of self-management ability intervention in hepatitis B patients on self-management cognition, behavior and health status. Methods: From January 2011 to December 2011 in Hangzhou Sixth People’s Hospital outpatient treatment of hepatitis B patients were randomly divided into experimental group and control group of 65 cases. Patients in the experimental group were educated one-on-one three times, the self-management behavioral manual of hepatitis B patients was issued, and monthly telephone follow-up was conducted. The control group received routine treatment and nursing. Respectively before intervention, intervention 3 months and 6 months after self-management ability behavior and health survey. Results: After 3 months and 6 months of intervention, the score of self-management ability in experimental group was significantly higher than that before intervention (P <0.05). The score of comparison experimental group was higher than that of control group P <0.05). After intervention, the experimental group self-management ability, liver function recovery time is better than the control group, the difference was statistically significant (P <0.05). Conclusion: Self-management ability intervention can improve and improve the self-management behavior and cognition of patients with hepatitis B. Allow patients to adhere to long-term standardized treatment, reduce the recurrence rate, it is worth in the hepatitis B clinic promotion.