Objective To investigate the influence of strengthening intervention on antiviral treatment compliance for cirrhosis patients following chronic hepatitis B.
Methods One hundred patients with cirrhosis following chronic hepatitis B undergoing antiviral treatment between January 2007 and January 2009 were randomly divided into intervention group and control group with 50 patients in each group.Patients in the control group received routine care.For patients in the intervention group,besides routine care,strengthening education on the disease,medication guide,and weekly telephone follow-up after discharge were also added.On the time points of 6,12,18,24,30,36 months after patients were discharged,we followed them up with self-designed questionnaire,and compared the two groups of patients on the rates of fully complying with doctors,not fully complying with doctors and completely not complying with doctors.And the reasons were also analyzed.
Results Eighteen months after being discharged,the two groups had no significant difference in the rate of complying with doctors (P>0.05),while the difference was significant 24,30,36 months after leaving the hospital (P<0.05).The reasons were not following the doctors were mainly high cost and unsatisfying treatment effect.In the control group,the reasons also included lack of knowledge about the disease and lack of guidance and supervision.
Conclusion Through strengthening nursing intervention,patients'treatment compliance can be improved significantly.
Citation:
RENYan-ling, FENGHong-ping. .. West China Medical Journal, 2014, 29(2): 311-314. doi: 10.7507/1002-0179.20140096
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
1. |
卢平宣.慢性乙型肝炎抗病毒治疗的现状和进展[J].内科,2008,3(2):246-248.
|
2. |
陆惠洁,卜桂珍.系统健康教育对门诊慢性乙型肝炎患者抗病毒治疗依从性的影响[J].护理实践与研究,2010,7(6):117-119.
|
3. |
Lok ASF,Mc Mahon BJ.Chronic hepatitis B[J].Hepatology,2007,45(2):507-539.
|
4. |
沈爱宗,陈飞虎,张善堂,等.美国慢性疾病药物治疗的依从性研究[J].国外医学·社会医学分册,2004,21(4):155-159.
|
5. |
杨丽翠,孙玉梅,李春梅,等.慢性乙型肝炎患者依从性现状的调查分析[J].解放军护理杂志,2009,26(9):19-22.
|
6. |
中华医学会肝病学分会、感染病学分会.慢性乙型肝炎防治指南[J].中华肝脏病杂志,2005,13(12):881-891.
|
7. |
戴晓阳.护理心理学[M].北京:人民卫生出版社,1998:128-130.
|
8. |
郑洋,范芸.慢性乙型肝炎患者口服核苷酸类似物抗病毒治疗依从性调查与分析[J].内科理论与实践,2013,8(4):289-290.
|
9. |
于明震.慢性乙型肝炎复发诱因分析及护理[J].现代医药卫生,2001,17(2):127.
|
10. |
段海叶,李艳芳.导致乙肝病人抗病毒治疗不遵医行为的原因调查分析[J].中国实用神经疾病杂志,2011,14(10):55-56.
|
11. |
董南,何波,庄辉.慢性乙型肝炎患者对疾病和抗病毒治疗的认知程度调查[J].肝脏,2009,14(1):8-10.
|
12. |
杨梅,杨彦佳,王震玲,等.四川地区慢性乙型肝炎患者对抗病毒治疗的依从性影响因素分析[J].华西医学,2013,28(10):1555-1558.
|
13. |
万彬,罗东霞.慢性乙型肝炎患者健康教育需求调查分析[J].华西医学,2009,24(5):1290-1292.
|
14. |
沈娟,钱湘云.自我管理干预在提高慢性乙型肝炎病人治疗依从性中的应用[J].护理研究,2012,26(7):1963-1964.
|
15. |
李延云.电话随访对慢性乙型肝炎患者抗病毒治疗依从性的影响[J].齐鲁护理杂志,2012,18(22):93-94.
|
16. |
毛鑫群,仲冬梅,蒋艳.乙型肝炎后肝硬化患者服用抗病毒药物治疗依从性的调查[J].解放军护理杂志,2012,29(5A):26-28.
|
- 1. 卢平宣.慢性乙型肝炎抗病毒治疗的现状和进展[J].内科,2008,3(2):246-248.
- 2. 陆惠洁,卜桂珍.系统健康教育对门诊慢性乙型肝炎患者抗病毒治疗依从性的影响[J].护理实践与研究,2010,7(6):117-119.
- 3. Lok ASF,Mc Mahon BJ.Chronic hepatitis B[J].Hepatology,2007,45(2):507-539.
- 4. 沈爱宗,陈飞虎,张善堂,等.美国慢性疾病药物治疗的依从性研究[J].国外医学·社会医学分册,2004,21(4):155-159.
- 5. 杨丽翠,孙玉梅,李春梅,等.慢性乙型肝炎患者依从性现状的调查分析[J].解放军护理杂志,2009,26(9):19-22.
- 6. 中华医学会肝病学分会、感染病学分会.慢性乙型肝炎防治指南[J].中华肝脏病杂志,2005,13(12):881-891.
- 7. 戴晓阳.护理心理学[M].北京:人民卫生出版社,1998:128-130.
- 8. 郑洋,范芸.慢性乙型肝炎患者口服核苷酸类似物抗病毒治疗依从性调查与分析[J].内科理论与实践,2013,8(4):289-290.
- 9. 于明震.慢性乙型肝炎复发诱因分析及护理[J].现代医药卫生,2001,17(2):127.
- 10. 段海叶,李艳芳.导致乙肝病人抗病毒治疗不遵医行为的原因调查分析[J].中国实用神经疾病杂志,2011,14(10):55-56.
- 11. 董南,何波,庄辉.慢性乙型肝炎患者对疾病和抗病毒治疗的认知程度调查[J].肝脏,2009,14(1):8-10.
- 12. 杨梅,杨彦佳,王震玲,等.四川地区慢性乙型肝炎患者对抗病毒治疗的依从性影响因素分析[J].华西医学,2013,28(10):1555-1558.
- 13. 万彬,罗东霞.慢性乙型肝炎患者健康教育需求调查分析[J].华西医学,2009,24(5):1290-1292.
- 14. 沈娟,钱湘云.自我管理干预在提高慢性乙型肝炎病人治疗依从性中的应用[J].护理研究,2012,26(7):1963-1964.
- 15. 李延云.电话随访对慢性乙型肝炎患者抗病毒治疗依从性的影响[J].齐鲁护理杂志,2012,18(22):93-94.
- 16. 毛鑫群,仲冬梅,蒋艳.乙型肝炎后肝硬化患者服用抗病毒药物治疗依从性的调查[J].解放军护理杂志,2012,29(5A):26-28.