慢性乙肝患者治疗依从性及健康教育需求调查

目的调查慢性乙肝患者治疗依从性差的原因及对健康教育的需求，指导护理人员针对性地开展健康教育，提高患者抗病毒治疗的依从性。方法采用自行设计的“慢性乙肝患者抗病毒治疗依从性差的原因及健康教育需求调查”问卷，对76例慢性乙肝患者进行调查，分析其治疗依从性差的原因及对健康教育的需求。结果慢性乙肝患者中青年群体治疗依从性较差；72．4％的患者疾病复发；患者对乙肝知识一点都不了解的占36．8％，了解一点但有误区的占39．5％；42．1％的患者从未接受过医护人员的任何疾病知识的宣教，19．7％的患者接受的乙肝知识宣教是错误的；大部分患者不知道乙肝抗病毒治疗目标及停药指征从而导致依从性差；46．1％的患者认为对自身依从性影响最大的因素是经济因素；患者最希望获得疾病知识的途径是医护人员（82．9％），最希望了解乙肝的药物知识（75．0％），最希望媒体宣传的是反对乙肝歧视（63．2％）。结论护理人员应针对性地对慢性乙肝患者开展健康教育，提高患者的依从行为。

An analysis of treatment compliance and health education demand for chronic hepatitis B patients

Objective To find the causes of poor treatment compliance and demands for the health education to guide the health education by nursing staff and improve the treatment compliance of chronic hepatitisB patients. Methods A self-designed ＂causes of poor treatment compliance and demands for health education of chronic hepatitis B patients questionnaire＂ was applied to survey 76 chronic hepatitis B patients. Results Poor treatment compliance was found in middle-aged chronic hepatitis B patients. The relapse rate was 72.4%. 36.8% of the patients showed no knowledge of chronic hepatitis B. 39.5% of patients had limited knowledge and misunderstanding. 42.1% of the patients never received health education for hepatitis B and 19.7% of the patients received incorrect education. The major cause of poor treatment compliance was majority of the patients did not aware of the goal of the treatments and the indication of drug withdrawal. 46.1% of the patients believed their poor treatment compliance resulted from the financial factor. Patients hoped to receive health education from medical staff （82.9%） and to obtain knowledge of the medicine for hepatitis B （75.0%） and wished media support for against discrimination （63.2%）. Conclusions Nursing staff should educate chronic hepatitis B patients accordingly to improve the poor treatment compliance.