CAJ | 학술논문

目的：了解慢性乙肝患者发生拉米夫定(Lamivudine，LAM)耐药后对健康教育内容及其方式的需求，为慢性乙肝患者提高治疗的依从性和促进预后提供指导。方法：横断面调查152例LAM单药抗病毒治疗耐药后的慢性乙肝患者，分析其对健康教育内容及方式的需求。结果：患者对健康教育内容的需求较多，其中耐药后续治疗及预后需求所占比例最高，均达100％。其次是再次用抗病毒药疗程、治疗费用、更换其他抗病毒药的不良反应所占比例较高，依次为89.47％、85.53％、81.58％。同时，孩子对健康教育方式的需求中希望与专科医务人员交流进行健康教育的人最多，达100％。其次选择固定时间向肝病专家咨询和专家健康讲座的患者所占比例较高，分别为90.79%和88.16%。结论：医务人员就慢性乙肝患者发生LAM耐药后对健康教育内容及其方式的需求，有针对的提供指导，可以提高患者对治疗的依从性，促进预后。
목적：료해만성을간환자발생랍미부정(Lamivudine，LAM)내약후대건강교육내용급기방식적수구，위만성을간환자제고치료적의종성화촉진예후제공지도。방법：횡단면조사152례LAM단약항병독치료내약후적만성을간환자，분석기대건강교육내용급방식적수구。결과：환자대건강교육내용적수구교다，기중내약후속치료급예후수구소점비례최고，균체100％。기차시재차용항병독약료정、치료비용、경환기타항병독약적불량반응소점비례교고，의차위89.47％、85.53％、81.58％。동시，해자대건강교육방식적수구중희망여전과의무인원교류진행건강교육적인최다，체100％。기차선택고정시간향간병전가자순화전가건강강좌적환자소점비례교고，분별위90.79%화88.16%。결론：의무인원취만성을간환자발생LAM내약후대건강교육내용급기방식적수구，유침대적제공지도，가이제고환자대치료적의종성，촉진예후。
Objective:To analyze the contents and forms of the health education demanded by chronic hepatitis B patients with lamivudine-resistant, to provide suggestion to improve their treatment compliance and prognosis.Method:152 cases of chronic hepatitis B patients with lamivudine-resistant were investigated using questionnaire and their needs for health education were analyzed.Result:The patients had more health education content demands,most needed were knowledge about successive treatment and prognosis after lamivudine-resistant,the rate of both were 100%.Followed needs were knowledge about schedule and cost of antiviral treatment,the side effects of substituted drugs,the rates were 89.47%,85.53%,81.58%respectively.As to forms of health education, 100%of the investigators hope to get needed information by communicating with health workers directly.Others forms including regularly consulting with liver specialists and attending health education lecture delivered by liver specialists,the rates were 90.79%,88.16% respectively.Conclusion:Pertinent health education based on the needs of hepatitis B patients with lamivudine-resistant should be provided by health workers to promote their treatment compliance and prognosis.