循证护理和健康教育对慢性乙型肝炎患者自我护理能力和治疗依从性的影响

目的：探讨循证护理和健康教育相结合对慢性乙型肝炎患者自我护理能力和治疗依从性的影响。方法选取2011年12月—2012年12月在某院治疗慢性乙型肝炎的患者122例，按照随机数字表法分为两组。对照组采用常规护理，干预组采用循证护理和健康教育相结合的方式。结果干预组干预后护理技能、自我概念、自我责任感、健康知识水平及自我护理能力总分分别为（26．91±5．60），（20．08±3．01），（19．41±2．98），（47．84±7．41），（113．91±13．42）分，明显优于干预前的（24．67±5．90），（18．46±2．92），（17．46±2．93），（43．28±5．77），（103．87±11．22）分，差异有统计学意义（t值分别为2．150，2．912，2．033，3．311，2．875；P＜0．05），而对照组干预前后仅自我责任感评分差异有统计学意义（P＜0．05），在其他维度上差异无统计学意义（P＞0．05）。出院3个月、6个月后干预组ALT值分别为（67．2±26．3），（43．7±13．6）U／L，明显低于对照组的（95．8±31．1），（72．4±17．5）U／L，差异有统计学意义（ t值分别为－3．020，－3．206；P＜0．05）。结论循证护理和健康教育相结合的方式可以有效地提高慢性乙型肝炎患者自我护理能力和治疗依从性。

Effect of evidence-based nursing and health education on self-care agency and treatment compliance in patients with chronic hepatitis B

Objective To explore the effect of evidence-based nursing and health education on self-care agency and treatment compliance among patients with chronic hepatitis B.Methods Totals of 122 patients with chronic hepatitis B between December 2011 and December 2012,were randomly divided into control group （ n=61） and study group （n =61）.Study group received evidence-based nursing and health education, while control group received routine nursing care.Results The statistically significant differences could be found in each dimension of self nursing ability after intervention in the study group （ t=2.150,2.912,2.033,3.311, 2.875,respectively;P〈0.05）,nursing-skill （26.91 ±5.60 vs 24.67 ±5.90）,self-concept （20.08 ±3.01 vs 18.46 ±2.92）,self-responsibility （19.41 ±2.98 vs 17.46 ±2.93）,health knowledge （47.84 ±7.41 vs 43.28 ±5.77）,and self nursing ability total scores （113.91 ±13.42 vs 103.87 ±11.22）.While the control group’s difference was only found in self-responsibility （P〉0.05）.After 3 months and 6 months discharge from hospital, ALT in experimental group were significantly lower than that in control group respectively, and the difference was statistically significant （67.2 ±26.3 vs 95.8 ±31.1, 43.7 ±13.6 vs 72.4 ±17.5;t =-3.020, -3.206,respectively;P 〉0.05）.Conclusions Evidence-based nursing and health education method can improve the patients’ self-nursing ability and treatment compliance.