目的 了解慢性乙型肝炎患者服药依从性、家庭关怀度及其相关性.方法 采用便利抽样法,于2016年1—12月对南通市某三级甲等传染病医院276例慢性乙型肝炎患者,利用服药依从性问卷和家庭关怀度指数问卷进行问卷调查.结果 慢性乙型肝炎患者服药依从性佳者占48.91%,家庭关怀度得分为(7.82±2.38)分.Pearson相关性分析显示,患者服药依从性与家庭关怀呈负相关(r=-0.173,P<0.05).不同年龄、性别、职业、文化程度、月收入、医疗支付方式的患者服药依从性差异有统计学意义(χ2值分别为27.45、8.42、13.36、24.76、10.65、18.38;P<0.05);不同年龄、性别、职业、婚姻状况、月收入、医疗支付方式的患者家庭关怀度得分差异有统计学意义(t值分别为7.41、2.52、4.96、6.88、5.65、11.26;P<0.05).结论 慢性乙型肝炎患者服药依从性及家庭关怀度仍有待进一步提高,需加强以家庭为中心的多重护理干预,提高服药依从性及家庭关怀度,延缓疾病发展,提高生存质量.%Objective To understand the medication compliance,family care and their correlation in patients with chronic hepatitis B. Methods From January to Decemeber 2016,two hundred and seventy-six chronic hepatitis B patients from a class III grade A infectious disease hospital in Nantong were selected as the research object by convenient sampling method. They were investigated by the medication compliance questionnaire and the family care index questionnaire. Results Chronic hepatitis B patients with good medication compliance accounted for 48.91%,the family care score was(7.82±2.38)points. Pearson correlation analysis showed negative correlation between the medication compliance of patients and family care(r=-0.173, P < 0.05). There were significance differences in medication compliance among different age,gender, occupation,cultural level,monthly income,medical payment(χ2=27.45,8.42,13.36,24.76,10.65,18.38;P < 0.05). There were significant differences in family care scores among patients of different age,gender, occupation,marital status,monthly income and method of medical payment(t=7.41,2.52,4.96,6.88,5.65, 11.26;P<0.05). Conclusions The medication compliance and family care of chronic hepatitis B patients still needs to be further improved. It is necessary to strengthen the multi family-oriented nursing intervention,and improve medication compliance and family care so as to delay progression and improve quality of life of patients.
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