目的 调查单纯性脂肪肝患者对脂肪肝相关知识的掌握情况,指导护理人员有针对性地进行护理干预.方法 对2012年在衢州市人民医院体检中发现的98例单纯性脂肪肝患者的认知行为进行问卷调查和相关因素分析,根据调查结果和体检结果对脂肪肝患者进行持续动态的生活方式干预;比较干预前后脂肪肝患者各项生理指标变化情况,并对比较的结果进行分析.结果 干预3个月后患者对脂肪肝相关知识认知水平均有提高,分别占86.73％,92.86％,91.84％,90.82％,88.78％,与干预前比较差异均有统计学意义(x2分别为48.220,34.797,40.000,52.632,54.884;P ＜0.05).干预3个月后患者对脂肪肝防治相关行为依从性较好,分别为82.65％,81.63％,80.61％,91.84％,85.71％,88.78％,77.55％,71.43％,62.24％,与干预前比较差异均有统计学意义(x2分别为106.506,106.909,83.731,86.510,86.450,71.050,71.226,88.028,71.638;P＜0.05).干预3个月后患者体重指数、三酰甘油、总胆固醇、血压均下降,分别为(26.15±2.38) kg/m2,(1.91±0.76) mmol/L,(5.35±1.54) mmol/L,(103.51±20.84)mm Hg,与干预前比较差异均有统计学意义(t分别为8.552,5.078,4.962,4.826;P＜0.05).结论 脂肪肝患者对脂肪肝相关知识认识不足,护理人员应采取有针对性的健康宣教和干预措施,提高患者的自我保护意识,有效降低脂肪肝发病率.
目的 調查單純性脂肪肝患者對脂肪肝相關知識的掌握情況,指導護理人員有針對性地進行護理榦預.方法 對2012年在衢州市人民醫院體檢中髮現的98例單純性脂肪肝患者的認知行為進行問捲調查和相關因素分析,根據調查結果和體檢結果對脂肪肝患者進行持續動態的生活方式榦預;比較榦預前後脂肪肝患者各項生理指標變化情況,併對比較的結果進行分析.結果 榦預3箇月後患者對脂肪肝相關知識認知水平均有提高,分彆佔86.73％,92.86％,91.84％,90.82％,88.78％,與榦預前比較差異均有統計學意義(x2分彆為48.220,34.797,40.000,52.632,54.884;P ＜0.05).榦預3箇月後患者對脂肪肝防治相關行為依從性較好,分彆為82.65％,81.63％,80.61％,91.84％,85.71％,88.78％,77.55％,71.43％,62.24％,與榦預前比較差異均有統計學意義(x2分彆為106.506,106.909,83.731,86.510,86.450,71.050,71.226,88.028,71.638;P＜0.05).榦預3箇月後患者體重指數、三酰甘油、總膽固醇、血壓均下降,分彆為(26.15±2.38) kg/m2,(1.91±0.76) mmol/L,(5.35±1.54) mmol/L,(103.51±20.84)mm Hg,與榦預前比較差異均有統計學意義(t分彆為8.552,5.078,4.962,4.826;P＜0.05).結論 脂肪肝患者對脂肪肝相關知識認識不足,護理人員應採取有針對性的健康宣教和榦預措施,提高患者的自我保護意識,有效降低脂肪肝髮病率.
목적 조사단순성지방간환자대지방간상관지식적장악정황,지도호리인원유침대성지진행호리간예.방법 대2012년재구주시인민의원체검중발현적98례단순성지방간환자적인지행위진행문권조사화상관인소분석,근거조사결과화체검결과대지방간환자진행지속동태적생활방식간예;비교간예전후지방간환자각항생리지표변화정황,병대비교적결과진행분석.결과 간예3개월후환자대지방간상관지식인지수평균유제고,분별점86.73％,92.86％,91.84％,90.82％,88.78％,여간예전비교차이균유통계학의의(x2분별위48.220,34.797,40.000,52.632,54.884;P ＜0.05).간예3개월후환자대지방간방치상관행위의종성교호,분별위82.65％,81.63％,80.61％,91.84％,85.71％,88.78％,77.55％,71.43％,62.24％,여간예전비교차이균유통계학의의(x2분별위106.506,106.909,83.731,86.510,86.450,71.050,71.226,88.028,71.638;P＜0.05).간예3개월후환자체중지수、삼선감유、총담고순、혈압균하강,분별위(26.15±2.38) kg/m2,(1.91±0.76) mmol/L,(5.35±1.54) mmol/L,(103.51±20.84)mm Hg,여간예전비교차이균유통계학의의(t분별위8.552,5.078,4.962,4.826;P＜0.05).결론 지방간환자대지방간상관지식인식불족,호리인원응채취유침대성적건강선교화간예조시,제고환자적자아보호의식,유효강저지방간발병솔.
Objective To survey the related knowledge about fatty liver in simple fatty liver patients,and to guide nurses to carry out targeted nursing intervention.Methods Ninety-eight patients with simple fatty liver from 2012 to now in People' s Hospital of Quzhou were surveyed by questionnaires about their knowledge,attitude and behavior concerning fatty liver and an analysis was also made on related factors.The lifestyles of patients were continuously and dynamically intervened according to the results of survey and physical examination results.The comparison was made on the changes of every physiological index in patients before and after intervention,and an analysis was made on the results of the comparison.Results After 3 months of nursing intervention,the patients' related knowledge about fatty liver had been improved,respectively accounting for 86.73％,92.86％,91.84％,90.82％,and 8.78％.Compared with the situation before intervention,the differences were statistically significant (x2 =48.220,4.797,40.000,52.632,54.884,respectively; P ＜0.05).Three months after intervention,compared with the patients' obedience to the prevention and treatment of fatty liver before intervention,their obedience after intervention was more satisfactory,respectively accounting for 82.65％,81.63％,80.61％,91.84％,85.71％,88.78％,77.55％,71.43％,and 62.24％,the differences were statistically significant (x2 =106.506,106.909,83.731,86.510,86.450,71.050,71.226,88.028,71.638,respectively; P ＜0.05).Three months after intervention,the patients had experienced a decrease in body mass index,triglyceride,total cholesterol and blood pressure,their respective numbers were (26.15 ± 2.38) kg/m2,(1.91 ± 0.76) rmtmol/L,(5.35 ± 1.54) rmtmol/L,(103.51 ±20.84) mm Hg.Compared with the situation before intervention,the differences were statistically significant (t =8.552,5.078,4.962,4.826,respectively; P ＜ 0.05).Conclusions The patients with fatty liver do not have enough knowledge about fatty liver.Therefore the nursing staff should carry out targeted health care propaganda and intervention to improve patients' consciousness of self-protection and eventually reduce the occurrence of fatty liver.
