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目的探讨延续性护理对慢性乙型肝炎患者治疗依从性和自我护理效果及心理状态的影响。方法回顾性分析攀枝花市第四人民医院2014年2月—2016年1月收治的慢性乙型肝炎患者176例,根据是否接受延续性护理分为对照组和延续组,各88例。对照组患者给予常规护理干预,延续组患者给予延续性护理干预,两组患者均至少干预6个月。评估比较两组患者的治疗依从性、自我护理效能评分及症状自评量表(SCL-90)评分。结果延续组患者治疗依从性优于对照组(P<0.05)。干预前,两组患者自我护理效能评分比较,差异无统计学意义(P>0.05);干预后,延续组患者自我护理效能评分高于对照组(P<0.05)。延续组患者SCL-90各维度评分及总分低于对照组,阳性项数少于对照组(P<0.05)。结论延续性护理可提高慢性乙型肝炎患者治疗依从性及自我护理效能,改善心理状态。
Objective To investigate the effect of continuous nursing on treatment compliance, self-care and psychological status in patients with chronic hepatitis B. Methods A retrospective analysis of Panzhihua Fourth People’s Hospital from February 2014 to January 2016, 176 cases of chronic hepatitis B patients were divided into control group and continuation group according to whether they received continuous nursing, 88 cases each. Patients in the control group were given routine nursing interventions and patients in the continuation group were given continuous nursing interventions. Patients in both groups were given interventions for at least 6 months. Assessments of treatment adherence, self-care efficacy scores and the Symptom Checklist 90 (SCL-90) were compared between the two groups. Results The follow-up group was better than the control group (P <0.05). Before intervention, there was no significant difference in self-care efficacy scores between the two groups (P> 0.05). After intervention, self-care efficacy scores of patients in continuation group were higher than those in control group (P <0.05). The scores and total scores of SCL-90 in continuation group were lower than those in control group, and the number of positive items was less than that in control group (P <0.05). Conclusion Continuous nursing can improve treatment compliance and self-care efficacy of patients with chronic hepatitis B and improve psychological status.