互联网随访对慢性乙型肝炎出院患者抗病毒治疗遵医行为及生活质量的影响
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摘要
目的观察互联网随访模式对慢性乙型肝炎(chronic hepatitis B,CHB)出院患者抗病毒治疗遵医行为及生活质量的影响.方法选择2016-02/2017-05在杭州市余杭区第二人民医院行抗病毒治疗的85例CHB出院患者,按随机数字表法分为观察组(44例)及对照组(41例).对照组患者采用常规的电话随访方式,观察组采用互联网随访模式,以互联网服务平台(手机微信、QQ、电子邮件)为载体,发布CHB健康教育知识,指导服药及定期复诊等,均随访6 mo.分别于随访前随访前1 d、随访1、3、6 mo分别发放量表,统计两组患者各时间点遵医行为及生活质量情况.结果最终有75例患者完成了本研究(对照组37例,观察组38例).两组患者在随访前1 d及随访1 mo时遵医依从程度及生活质量差异均无显著统计学意义(P>0.05).随着随访时间的延长,随访1 mo后开始两组患者遵医依从程度及生活质量评分均呈上升趋势.至随访6 mo时,观察组遵医依从程度及生活质量评分显著高于随访前1 d,亦显著高于随访6 mo时的对照组.结论互联网随访模式较常规的电话随访应用效果更好,对CHB出院患者遵医行为及生活质量均有明显改善作用,值得临床推广应用.
AIM To investigate the effect of Internet-based follow-up on antiviral treatment compliance and quality of life in discharged patients with chronic hepatitis B(CHB).METHODS Eighty-five discharged CHB patients who received antiviral therapy at Yuhang District Second People's Hospital of Hangzhou City from February 2016 to May 2017 were randomly divided into either an experimental group(n = 44) or a control group(n = 41).The patients in the control group were given routine telephone follow-up for 6 mo, and the patients in the experimental group were given Internet-based follow-up by using Internet service platforms(WeChat, QQ, or E-mail)for 6 mo. The antiviral treatment compliance and quality of life were evaluated using questionnaires at 1 d before follow-up and 1, 3,and 6 mo after follow-up. The compliance and quality of life were then compared between the two groups at four time points.RESULTS Seventy-five patients completed the study(38 cases in the experimental group and 37 cases in the control group). The compliance and life quality did not differ significantly between the two groups at 1 d before follow-up and1 mo after follow-up in the two groups.With the extension of follow-up, the degree of compliance and the score of quality life showed an ascending trend from 1 mo after follow-up. At 6 mo after follow-up, the degreeof compliance and the score of life quality in the experimental group were significantly high than those at 1 d before follow-up, and those in the control group at the same time point.CONCLUSION Internet-based follow-up performs better than traditional telephone follow-up with regard to improving the antiviral treatment compliance and quality of life in discharged CHB patients.
AIM To investigate the effect of Internet-based follow-up on antiviral treatment compliance and quality of life in discharged patients with chronic hepatitis B(CHB).METHODS Eighty-five discharged CHB patients who received antiviral therapy at Yuhang District Second People's Hospital of Hangzhou City from February 2016 to May 2017 were randomly divided into either an experimental group(n = 44) or a control group(n = 41).The patients in the control group were given routine telephone follow-up for 6 mo, and the patients in the experimental group were given Internet-based follow-up by using Internet service platforms(WeChat, QQ, or E-mail)for 6 mo. The antiviral treatment compliance and quality of life were evaluated using questionnaires at 1 d before follow-up and 1, 3,and 6 mo after follow-up. The compliance and quality of life were then compared between the two groups at four time points.RESULTS Seventy-five patients completed the study(38 cases in the experimental group and 37 cases in the control group). The compliance and life quality did not differ significantly between the two groups at 1 d before follow-up and1 mo after follow-up in the two groups.With the extension of follow-up, the degree of compliance and the score of quality life showed an ascending trend from 1 mo after follow-up. At 6 mo after follow-up, the degreeof compliance and the score of life quality in the experimental group were significantly high than those at 1 d before follow-up, and those in the control group at the same time point.CONCLUSION Internet-based follow-up performs better than traditional telephone follow-up with regard to improving the antiviral treatment compliance and quality of life in discharged CHB patients.
引文
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5徐芳,蔡素芬,胡阳春.互联网+护理医疗服务在糖尿病社区延续性护理中的应用效果分析.中国临床护理2016;8:528-530
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7张学宁,张珍,曹松玉,蒋静凤,高倚,王蓓.我国乙型肝炎患者遵医行为健康教育干预效果的Meta分析.江苏预防医学2012;23:6-9
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10王佩,轧春妹,王玥,聂晶晶,李艳.群组管理对慢性乙型肝炎患者服药依从性的影响.国际护理学杂志2017;36:673-676
11 Chotiyaputta W,Hongthanakorn C,Oberhelman K,Fontana RJ,Licari T,Lok AS.Adherence to nucleos(t)ide analogues for chronic hepatitis B in clinical practice and correlation with virological breakthroughs.J Viral Hepat 2012;19:205-212[PMID:22329375 DOI:10.1111/j.1365-2893.2011.01494.x]
12戴田,李燕午.微信群聊在慢性乙型肝炎患者出院后延续性护理中的应用.国际护理学杂志2017;36:749-752
13 Bajardi P,Vespignani A,Funk S,Eames KT,Edmunds WJ,Turbelin C,Debin M,Colizza V,Smallenburg R,Koppeschaar CE,Franco AO,Faustino V,Carnahan A,Rehn M,Paolotti D.Determinants of follow-up participation in the Internet-based European influenza surveillance platform Influenzanet.J Med Internet Res 2014;16:e78[PMID:24613818 DOI:10.2196/jmir.3010]
14宋媛媛,任长婕.互联网+电话随访在术后出院胆囊切除患者中的效果.世界华人消化杂志2017;25:1889-1893[DOI:10.11569/wcjd.v25.i20.1889]
15吴海莉,韩云,朱海棠.互联网随访护理对2型糖尿病患者遵医行为及血糖控制的影响.齐鲁护理杂志2016;22:120-121
2中华医学会肝病学分会.慢性乙型肝炎防治指南(2015更新版).传染病信息2015;23:1-12
3王青春,周娟,穆晓倩,马骏涛,孙晶晶.基于“互联网+”的护理信息素养探讨.解放军护理杂志2016;33:40-42
4刘巧慧,曹英娟,付玲玲,王春燕.互联网+延伸护理模式在骨科患者出院康复中的应用研究.中国实用护理杂志2016;32:2506-2509
5徐芳,蔡素芬,胡阳春.互联网+护理医疗服务在糖尿病社区延续性护理中的应用效果分析.中国临床护理2016;8:528-530
6中华医学会肝病学分会.慢性乙型肝炎防治指南(2015更新版).中华肝脏病杂志2015;23:888-905
7张学宁,张珍,曹松玉,蒋静凤,高倚,王蓓.我国乙型肝炎患者遵医行为健康教育干预效果的Meta分析.江苏预防医学2012;23:6-9
8王菲,李武.慢性肝炎患者生命质量量表的研究进展.临床合理用药2014;7:180-181
9高健,游嵩,左桂芝,王志伟,徐长有.慢性乙型肝炎患者抗病毒治疗的依从性研究.中国处方药2015;13:97-98
10王佩,轧春妹,王玥,聂晶晶,李艳.群组管理对慢性乙型肝炎患者服药依从性的影响.国际护理学杂志2017;36:673-676
11 Chotiyaputta W,Hongthanakorn C,Oberhelman K,Fontana RJ,Licari T,Lok AS.Adherence to nucleos(t)ide analogues for chronic hepatitis B in clinical practice and correlation with virological breakthroughs.J Viral Hepat 2012;19:205-212[PMID:22329375 DOI:10.1111/j.1365-2893.2011.01494.x]
12戴田,李燕午.微信群聊在慢性乙型肝炎患者出院后延续性护理中的应用.国际护理学杂志2017;36:749-752
13 Bajardi P,Vespignani A,Funk S,Eames KT,Edmunds WJ,Turbelin C,Debin M,Colizza V,Smallenburg R,Koppeschaar CE,Franco AO,Faustino V,Carnahan A,Rehn M,Paolotti D.Determinants of follow-up participation in the Internet-based European influenza surveillance platform Influenzanet.J Med Internet Res 2014;16:e78[PMID:24613818 DOI:10.2196/jmir.3010]
14宋媛媛,任长婕.互联网+电话随访在术后出院胆囊切除患者中的效果.世界华人消化杂志2017;25:1889-1893[DOI:10.11569/wcjd.v25.i20.1889]
15吴海莉,韩云,朱海棠.互联网随访护理对2型糖尿病患者遵医行为及血糖控制的影响.齐鲁护理杂志2016;22:120-121
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