健康教育对肝硬化门脉高压患者遵医行为及康复的影响

发布时间：2017-12-30 18:07

本文关键词：健康教育对肝硬化门脉高压患者遵医行为及康复的影响　出处：《中国健康教育》2017年08期 　论文类型：期刊论文

【摘要】：目的探究健康教育对肝硬化门脉高压患者遵医行为及康复的影响。方法将2015年3月—2016年6月住院治疗的120例肝硬化门脉高压患者纳入研究,采用随机数字表法随机分为观察组和对照组,每组各60例。对照组实施常规健康教育,观察组在此基础上采取多形式、多内容、系统化且有针对性的健康教育。调查2组患者对肝硬化门脉高压相关知识认知、遵医行为及生活质量的变化情况。结果健康教育后,观察组患者对发病机制(68.33%vs 30.00%)、常见症状及并发症(90.00%vs 75.00%)、饮食原则(73.33%vs 53.33%)、坐卧体位(91.67%vs 25.00%)、活动方式(76.67%vs 21.67%)、肝功能指标(90.00%vs 66.67%)的知晓率均高于对照组(P0.05);观察组对禁酒(81.67%vs 56.67%)、禁食粗糙生硬食物(83.33%vs 55.00%)、劳逸结合(71.67%vs 26.67%)、监测病情(60.00%vs 13.33%)、定期复查肝功能(81.67%vs 18.33%)的遵医行为依从率均高于对照组(P0.05);观察组各项生活质量评分指标均优于对照组(P0.05)。结论对肝硬化门脉高压患者进行健康教育能够有效提高患者对疾病的认知,增强其遵医行为依从性,抑制肝硬化门脉高压的进一步恶化,预防严重致死性并发症的发生,最终有效提高患者生活质量,促进患者康复。
[Abstract]:Objective to investigate the effect of health education on compliance behavior and rehabilitation of patients with portal hypertension of liver cirrhosis. Methods 120 patients with portal hypertension of liver cirrhosis who were hospitalized from March 2015 to June 2016 were included in the study. The study group was randomly divided into observation group and control group with 60 cases in each group. The control group was given routine health education, and the observation group took various forms and contents on this basis. Systematic and targeted health education. Investigate the changes of knowledge, compliance and quality of life of patients with liver cirrhosis and portal hypertension in two groups. Results after health education. In the observation group, the pathogenesis of the disease was 68.33 vs 30.00.The common symptoms and complications were 90.00g vs 75.00). The diet principle was 73.33 vs 53.33, the sitting and lying position was 91.67 vs 25.00, the way of movement was 76.67 vs 21.67). The awareness rate of liver function index (90.00g vs 66.67) was higher than that of the control group (P 0.05). The observation group (81.67 vs 56.67g) and the observation group (83.33g vs 55.00). Work and rest combined with 71.67 vs 26.67 to monitor the condition of the disease 60.00vs 13.33). The compliance rate of regular reexamination of liver function (81.67 vs 18.33) was higher than that of the control group (P 0.05). The scores of quality of life in the observation group were better than those in the control group (P 0.05). Conclusion Health education for patients with portal hypertension can effectively improve their cognition of disease. To enhance compliance, inhibit the further deterioration of portal hypertension in liver cirrhosis, prevent the occurrence of severe fatal complications, and ultimately improve the quality of life of patients and promote the recovery of patients.
【作者单位】：长沙市第一医院;
【分类号】：R473.5
【正文快照】： 张春元,范小艳,蒋科ZHANG Chun-yuan,FAN Xiao-yan,JIANG Ke肝硬化门脉高压症是一种常见的慢性迁延反复性疾病,具有并发症多、预后差的特点,需要进行系统化且长时间连续性干预治疗。肝硬化门脉高压时血流受阻,门静脉内血流常发生逆流并产生侧支循环,出现静脉曲张症状,容易导致

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