个案管理模式在慢性乙型肝炎患者健康管理中的应用效果

发布时间：2018-01-14 14:41

本文关键词：个案管理模式在慢性乙型肝炎患者健康管理中的应用效果　出处：《重庆医学》2016年21期 　论文类型：期刊论文

【摘要】：目的探讨个案管理模式在慢性乙型肝炎(以下简称慢性乙肝)患者治疗管理中的应用效果。方法选取2013年1~6月在该院肝病科住院的慢性乙肝患者156例,采用随机数字表法将其分为试验组与对照组,各78例。对照组采用的医院现有的诊疗模式,常规抗病毒治疗,被动接受随访和复诊;试验组在常规抗病毒治疗的基础上采用个案管理模式,治疗管理2年后观察乙型肝炎病毒(HBV)DNA下降达标率、平均住院时间、医疗费用、治疗依从率与生活质量改善评分等指标的改变情况。结果两组患者经治疗后HBV DNA下降达标率、生活质量改善评分及医院满意率均提高,且治疗后试验组上述指标均高于对照组,差异均有统计学意义(P0.05)。治疗后,试验组患者平均住院时间、医疗费用均低于对照组,治疗依从率高于对照组,差异均有统计学意义(P0.05)。结论个案管理模式在慢性乙肝患者HBV DNA下降达标率、生存质量、满意度评分的改善,以及在降低平均住院时间、减少医疗费用和提高患者依从性方面效果更为显著,是一种较好的患者管理模式。
[Abstract]:Objective to explore the application of case management in chronic hepatitis B (CHB). Methods 156 patients with chronic hepatitis B were selected from 2013 to June. The patients were divided into experimental group and control group with 78 cases each by random digital table. The existing hospital diagnosis and treatment mode, routine antiviral therapy, passive follow-up and follow-up were used in the control group. On the basis of routine antiviral therapy, the experimental group adopted the case management model. After 2 years of treatment management, the decrease of HBV DNA reached the standard rate, the average hospitalization time and the medical cost were observed. Results after treatment, the HBV DNA decreased to the standard rate, the quality of life improvement score and the hospital satisfaction rate increased. After treatment, the above indexes in the experimental group were higher than those in the control group, and the difference was statistically significant (P 0.05). After treatment, the average hospitalization time and medical expenses of the patients in the experimental group were lower than those in the control group. The rate of treatment compliance was higher than that of the control group, and the difference was statistically significant (P 0.05). Conclusion the case management model can improve the score of HBV DNA, quality of life and satisfaction in patients with chronic hepatitis B. And it is more effective in reducing average hospitalization time, reducing medical expenses and improving patient compliance, which is a better patient management model.
【作者单位】：江苏大学医学院附属第三人民医院健康管理中心;
【基金】：镇江市科技局科技支撑计划——社会发展项目(SH2013087)
【分类号】：R473.5
【正文快照】： 慢性乙型肝炎(以下简称慢性乙肝)是一种严重的进展性疾病,病毒难以清除,病情易反复。在漫长的治疗过程中,由于患者治疗依从性差,目前各大医院也未能形成有效统一的患者管理模式,无法达到治疗效果。患者可发展为肝硬化,出现严重的并发症,甚至导致肝癌。本文从健康管理的角度对

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