常轶盈??张洪艳??宋静??修雪莲

[摘要] 目的 探討综合护理干预对慢性乙肝患者治疗依从性、自我护理能力及生活质量的影响。 方法 研究对象为我院2015年1月～2016年1月份所收治的80例慢性乙肝患者， 根据护理方法不同随机分为两组，每组各40例，对照组采取常规对症护理，干预组采取综合护理干预，比较两组患者的治疗依从性，两组患者干预前后自我护理能力评分、生活质量评分。 结果 干预后，两组患者的治疗依从率分别为95.0%、70.0%，观察组显著高于对照组，组间比较，差异具有统计学意义（P<0.05）。两组患者自我护理能力ESCA评分干预后的健康知 识 水平、自我概念、自我责任感、自我护理技能评分分别显著高于干预前及对照组，差异具有统计学意义（P<0.05）。两组患者生活质量QLS-CHB评分干预后的生理、症状、心理及社会各项评分分别显著高于干预前及对照组，差异具有统计学意义（P<0.05）。结论 综合护理干预有利于提高慢性乙肝患者的治疗依从性及自我护理能力，改善患者的生活质量。

[关键词] 慢性乙肝；综合护理干预；治疗依从性；自我护理能力；生活质量

[中图分类号] R473.5 [文献标识码] A [文章编号] 2095-0616（2017）11-89-04

Effect of comprehensive nursing intervention to the compliance， self-care ability and quality of life in patients with chronic hepatitis B

CHANG Yiying1 ZHANG Hongyan2 SONG Jing2 XIU Xuelian3

1. Static Center， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China； 2. Hemodialysis room， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China； 3. Department of Dental， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China

[Abstract] Objective To investigate the effect of comprehensive nursing intervention to the compliance， self-care ability and quality of life in patients with chronic hepatitis B （CHB）. Methods 80 cases of chronic hepatitis B patients in our hospital from January 2015 to 2016 January were， according to the different nursing methods， divided into two groups， 50 cases in each group. Patients in control group were treated with routine nursing， and patients in the intervention group were treated with comprehensive nursing intervention. The treatment compliance， self-care ability score， quality of life scores of the two groups before and after intervention of the two groups were compared. Results After the intervention， the treatment compliance rate of the two groups were 95% and 70%， respectively， the observation group was significantly higher than that of the control group， the difference was statistically significant （P<0.05）. Self care ability of two groups of patients with ESCA score after the intervention of health knowledge level， self concept， self responsibility and self care skills scores were significantly higher than before the intervention and the control group， the difference was statistically significant（P<0.05）. The quality of life （QLS-CHB） score after the intervention of physical， psychological， and social scores of the two groups were significantly higher than those before intervention and control group， the difference was statistically significant （P<0.05）. Conclusion Comprehensive nursing intervention can improve the treatment compliance and self-care ability of patients with chronic hepatitis B， improve the quality of life of patients with chronic hepatitis B.

[Key words] Chronic hepatitis B； Comprehensive nursing intervention； Treatment compliance； Self-care ability； Quality of life

慢性乙肝病程长、易反复发作，导致患者服药依从性降低，自我护理能力差，进一步影响患者的生活质量[1]。在积极治疗的同时采取积极有效的护

理干预措施对于提高临床疗效和改善患者的生活质量具有重要作用[2]。本研究旨在探讨综合护理干预对慢性乙肝患者治疗依从性、自我护理能力及生活质量的影响，现报道如下。

1 资料与方法

1.1 一般资料

研究对象为我院2015年1月～2016年1月份所收治的80例慢性乙肝患者，均经CT及相关实验室检查确诊，排除合并肝癌及严重心肺功能不全者及药物过敏者，排除意识及精神异常者、妊娠期及哺乳期女性。根据护理方法不同随机分为两组，每组各40例，干预组中男21例，女19例；年龄 22～72岁，平均（56.9±8.2）岁。病程1～6年，平均（4.2±1.5）年，对照组中男22例，女18例；年龄 23 ～ 76岁，平均（57.1±11.3）岁。病程0.5～8年，平均（4.5±1.7）年，两组患者的性别、年龄、文化程度等临床资料比较，差异无统计学意义（P>0.05），具有可比性。……