CAJ | 학술논문

目的：观察量化日常活动、饮食对慢性乙型肝炎（ CHB ）的临床效果。方法 CHB患者100例，按随机数字表法分为两组各50例，对照组按护理常规进行日常活动、饮食干预；干预组将患者各类日常活动项目转换为能量消耗量，按照人体活动消耗量合理安排饮食。结果经护理干预后，干预组总运动量、有效运动量、实际平衡量比治疗前明显提高，且提高的幅度大于对照组（ P＜0．05）；干预后两组ALT、AST、TBIL水平明显降低（P＜0．01），其中干预组下降幅度比对照组大（P＜0．05）；干预组总有效率为98．0％（49/50），对照组为82．0％（41/50），干预组的疗效优于对照组（P＜0．01）。结论按恰当的能量消耗量来安排患者的日常活动量、活动项目及饮食量，对肝功能恢复和疗效是有益的。
목적：관찰양화일상활동、음식대만성을형간염（ CHB ）적림상효과。방법 CHB환자100례，안수궤수자표법분위량조각50례，대조조안호리상규진행일상활동、음식간예；간예조장환자각류일상활동항목전환위능량소모량，안조인체활동소모량합리안배음식。결과경호리간예후，간예조총운동량、유효운동량、실제평형량비치료전명현제고，차제고적폭도대우대조조（ P＜0．05）；간예후량조ALT、AST、TBIL수평명현강저（P＜0．01），기중간예조하강폭도비대조조대（P＜0．05）；간예조총유효솔위98．0％（49/50），대조조위82．0％（41/50），간예조적료효우우대조조（P＜0．01）。결론안흡당적능량소모량래안배환자적일상활동량、활동항목급음식량，대간공능회복화료효시유익적。
Objective To observe the effects of quantification intervention of daily activities and diet on patients with chronic hepatitis B ( CHB).Methods One hundred patients with CHB were divided into two groups according to the random number table ,50 cases in each group .The control group received routine nursing intervention on daily activities and diet .In the intervention group ,all kinds of daily activities projects of the patients were converted to energy consumption ,and the patients′diet was arranged rationally based on their energy consumption .Results After nursing intervention ,the total exercise consumption ,effective exercise consumption and actual balance consumption increased significantly ,and the increase in the intervention group was better than that in the control group (P<0.05). The levels of ALT,AST,TBIL decreased significantly in two groups after intervention (P<0.01),but the decrease in the intervention group was more significant than that in the control group (P<0.05).The total effective rate was 98.0%(49/50) in the intervention group ,while in the control group was 82.0%(41/50),the curative effect of intervention group was better than that of control group (P<0.01).Conclusion The arrangement of patient′s daily activity,activities, and diet based on the appropriate energy consumption can effectively improve the hepatic function and therapeutic effect for patients with CHB.