Application effect of group medical visits on community patients with hepatitis B
10.3760/j.issn.1674-2907.2014.10.008
- VernacularTitle:群组看病管理模式在社区乙型肝炎患者中的应用效果
- Author:
Hong XUE
1
;
Zunqing LI
Author Information
1. 272002 山东省济宁市传染病医院2病区
- Keywords:
Hepatitis B;
Liver function;
Community;
Quality of life;
Group medical visit
- From:
Chinese Journal of Modern Nursing
2014;20(10):1139-1143
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of group medical visits on community patients with hepatitis B.Methods 60 patients with hepatitis B discharged from hospital whose HBeAg was feminine were randomly divided into the study group and the control group , each with 30 cases.The control group adopted self-management mode without any community nursing intervention , while the study group adopted the group medical visits for one year .The standard of chronic liver disease symptom score , liver function indicator and CLDQ were used to evaluate rehabilitation effect and quality of life in two groups before intervention , 3 months, 6 months, 9 months and one year after intervention .Results Before intervention , the score of chronic liver disease symptom and CLDQ was respectively (4.62 ±2.45),(105.79 ±13.54)in the study group and (5.74 ±2.54), (105.61 ±13.48 ) in the control group, with no statistically significant difference ( t =1.74, 0.14, respectively;P>0.05).There was also no statistically significant difference of liver function indicators between two groups (P>0.05).6 months, 9 months and 1 year after intervention, the score of chronic liver disease symptom was (6.68 ±3.21),(7.70 ±3.33),(7.19 ±3.12)in the study group, (9.05 ±3.52),(10.10 ± 3.27),(11.15 ±3.22) in the control group, and the differences were statistically significant (t=2.72,2.82, 4.84, respectively;P<0.05).The score of CLQD was (146.62 ±15.62),(162.30 ±16.87),(176.76 ± 18.12)in the study group, (118.91 ±15.51),(124.52 ±16.33),(131.25 ±17.42)in the control group, the differences were statistically significant (t =6.89,9.05,9.92, respectively; P <0.01).There was also statistically significant difference of scores of all dimensions of chronic liver disease symptom and CLDQ between two groups (P<0.05).All liver function indicators and score of HBV-DNA were better in the study group than in the control group, with statistically significant difference (P<0.05).Conclusions Group medical visits for community patients with hepatitis B can help keep their physical and psychological health and improve their quality of life, which is worthy clinical promotion .
