Effects of continuous nursing intervention on WeChat on the compliance of oral nucleoside(acid) analogues in patients with chronic hepatitis B
10.3760/cma.j.issn.1674-2907.2018.26.022
- VernacularTitle:以微信平台为媒介的延续护理干预对慢性乙型肝炎患者口服核苷(酸)类似物依从性的影响
- Author:
Lixia ZHENG
1
;
Yuanqing HE
;
Yuqiong WANG
;
Wen ZENG
;
Yan WANG
Author Information
1. 628001,四川省广元市第三人民医院护理部
- Keywords:
Hepatitis;
type B;
WeChat platform media;
Compliance;
Continuous nursing
- From:
Chinese Journal of Modern Nursing
2018;24(26):3193-3196
- CountryChina
- Language:Chinese
-
Abstract:
Objective Continuous nursing intervention was conducted in patients with chronic hepatitis B by means of Weixin platform. The effect of this intervention on compliance of oral nucleoside (acid) analogues (NA) in patients with chronic hepatitis B was studied and analyzed.Methods A total of 240 patients with chronic hepatitis B treated in the Third People's Hospital of Guangyuan in Sichuan Province from October 2014 to December 2016 were recruited. According to the different nursing methods, all the research subjects were divided into experimental group (n=120) and control group (n=120). For the experimental group, a nursing WeChat team and related WeChat group was established to provide professional counseling, authoritative scientific diagnostic information, appointment registration and other continuous nursing intervention for 6 months. Patients in the control group were given routine nursing. All patients were given oral NA treatment. The score of compliance after 6 months' intervention, the rate of review at 1st, 3rd and 6th month after discharge, and the recurrence rate at 12th month after discharge.Results The score of compliance of the control group was (52.37±7.65), and experimental group (63.85±8.57) after intervention. The difference in compliance was statistically significant (t=10.947,P<0.05). After intervention, the number of high compliance patients was 51 in the experimental group, which was higher than 29 in the control group, and the difference was statistically significant (χ2=9.075,P<0.05). The rates of review at 1st, 3rd and 6th month after discharge of the experimental group were all 100.00％, which were higher than those of the control group (96.67％, 92.50％ and 82.50％). The recurrence rate at 12th month after discharge of the experimental group was 8.33％,which was lower than 20.00％ of the control group, and the difference was statistically significant (P<0.05). Conclusions With the help of WeChat platform, continuous nursing can significantly improve the compliance of oral NA, improve the degree of re-visit and reduce the recurrence rate after 1 years in patients with hepatitis B.
