CAJ | 학술논문

目的探讨延续护理对慢性乙型肝炎患者的影响.方法将2010年6月至2012年1月河北省唐山市传染病医院120例慢性乙型肝炎患者按随机数字表法分为2组,延续护理组60例,对照组60例.对照组给予出院指导、定期复查、随访1次后未再联系;延续护理组执行延续护理,出院后3个月内每个月随访2次,以后每个月随访1次,共随访18个月.观察2组患者18个月后依从性、再住院时间、再住院费用、满意度情况.结果延续护理组依从性、满意度、再住院时间、再住院费用与对照组比较[63.3％ (38/60)比41.7％ (25/60);75.0％ (45/60)比46.7％ (28/60); (28±11)d比(34±16)d;(0.8±0.4)万元比(1.0±0.5)万元],差异均有统计学意义(均P ＜0.05).结论延续护理有效提高了慢性乙型肝炎患者的依从性,降低了再住院率,减轻了经济负担,提高了患者的满意度.
목적 탐토연속호리대만성을형간염환자적영향.방법 장2010년6월지2012년1월하북성당산시전염병의원120례만성을형간염환자안수궤수자표법분위2조,연속호리조60례,대조조60례.대조조급여출원지도、정기복사、수방1차후미재련계;연속호리조집행연속호리,출원후3개월내매개월수방2차,이후매개월수방1차,공수방18개월.관찰2조환자18개월후의종성、재주원시간、재주원비용、만의도정황.결과 연속호리조의종성、만의도、재주원시간、재주원비용여대조조비교[63.3％ (38/60)비41.7％ (25/60);75.0％ (45/60)비46.7％ (28/60); (28±11)d비(34±16)d;(0.8±0.4)만원비(1.0±0.5)만원],차이균유통계학의의(균P ＜0.05).결론 연속호리유효제고료만성을형간염환자적의종성,강저료재주원솔,감경료경제부담,제고료환자적만의도.
Objective To investigate the effect of continued care on chronic hepatitis B.Methods From June 2010 to January 2012,120 patients were randomly divided into 2 groups:continued nursing group (60 cases) and control group (60 cases).The patients in control group were given hospital discharge guidance,regular review and no contact again after one time follow-up; those in continued nursing group were given continued nursing care.After 18 months,length of hospital stay and hospital costs,the degree of satisfaction were analyzed in both groups.Results There was statistical significance in compliance,satisfaction,length of hospital stay and hospital costs between the continue nursing group and the control group [63.3％ (38/60) vs 41.7％ (25/60) ;75.0％ (45/60)vs 46.7％ (28/60) ; (28 ± 11) d vs (34 ± 16) d ; (0.8 ± 0.4) ten thousand yuan vs (1.0 ± 0.5) ten thousand yuan] (All P ＜ 0.05).Conclusion Continued nursing care can effectively improve the compliance of patients with chronic hepatitis B,reduce the rate of hospitalization,reduce the financial burden and improve patient satisfaction.