Objective To understand the medication compliance,family care and their correlation in patients with chronic hepatitis B. Methods From January to Decemeber 2016,two hundred and seventy-six chronic hepatitis B patients from a class III grade A infectious disease hospital in Nantong were selected as the research object by convenient sampling method. They were investigated by the medication compliance questionnaire and the family care index questionnaire. Results Chronic hepatitis B patients with good medication compliance accounted for 48.91%,the family care score was(7.82±2.38)points. Pearson correlation analysis showed negative correlation between the medication compliance of patients and family care(r=-0.173, P < 0.05). There were significance differences in medication compliance among different age,gender, occupation,cultural level,monthly income,medical payment(χ2=27.45,8.42,13.36,24.76,10.65,18.38;P < 0.05). There were significant differences in family care scores among patients of different age,gender, occupation,marital status,monthly income and method of medical payment(t=7.41,2.52,4.96,6.88,5.65, 11.26;P<0.05). Conclusions The medication compliance and family care of chronic hepatitis B patients still needs to be further improved. It is necessary to strengthen the multi family-oriented nursing intervention,and improve medication compliance and family care so as to delay progression and improve quality of life of patients.

Objective To explore and analyze the social support and family burden in patients with chronic hepatitis B (CHB).Methods From January to December 2016, a total of 272 patients with CHB and 272 primary caregivers in a Class Ⅲ Grade A hospital in Nantong were selected by convenience sampling method, and investigated by social support rating scale (SSRS) and family burden scale of disease (FBS). The results were statistically analyzed by SPSS 17.0 software, and the correlation between social support and family burden was analyzed by Pearson correlation analysis.Results The score of social support was (44.99±7.21) and family burden was (16.59±11.03). Pearson correlation analyzsis showed a negative correlation between social support and family burden (r=-0.176,P=0.004). The differences of social support were statistically significant among CHB patients with different marital status, monthly income and medical payment method (t/F=5.499, 11.490, 23.140;P<0.05). The differences of family burden were statistically significant among CHB patients' caregivers with different gender, occupation, education level, relation with patients and time caregiving (t/F= 2.412, 2.180, 7.990, 2.714, 6.372;P<0.05).Conclusions Further interventions should be implemented to improve social support and reduce disease burden for patients with CHB.

Objective To explore the efficacy of group intervention on the medication compliance, the degree of family care, negative emotion in patients with chronic hepatitis B. Methods From July to August 2016, a total of 80 patients with chronic hepatitis B who volunteered to take part in this research were selected and divided into two groups by random table method, with 40 cases in each group. The experimental group received group intervention, while the control group were given routine intervention. The medication compliance, the degree of family care and the negative emotion of the two groups were compared before and after intervention. Results After 6 months' intervention, the medication compliance of the experimental group was (0.67±0.85), and that of the control group was (1.20±1.34). The difference was statistically significant (t=2.097, P< 0.05). Patients with good family function in the experimental group increased from 65.00% to 87.50%. The scores of SAS and SDS were (42.92±9.04) and (45.91±8.89), which were both lower than those of the control group, with statistical significance (t=2.231, 2.226;P< 0.05). Conclusions Group intervention could help increase medication compliance and family care degree, at the same time decrease negative emotion in patients with chronic hepatitis B.

Objective? To explore the competitive attitude of clinical nurses of Infectious Disease Department and its influencing factors so as to provide a basis for improving nursing management strategies of infectious disease further. Methods? From April 2017 to June 2017, we selected 454 clinical nurses of Infectious Disease Department from 8 Class Ⅲ hospitals in Nantong City as subjects by convenience sampling. The Competitive Attitude Scale (CAS) was used to investigate the score of competitive attitude of clinical nurses of infectious disease department and multiple linear regression was used to analyze its influencing factors. Results? Among 454 clinical nurses of Infectious Disease Department in Nantong City, the scores of benign competition attitude and excessive competition were (45.13±8.17) and (29.57±5.51) respectively. There were statistical differences in the scores of excessive competition among clinical nurses of infectious disease department with different work lives and professional titles (F=3.147,3.556; P＜ 0.05). Multiple linear regression showed that the influencing factors of excessive competition included work lives and professional titles (P＜0.01). Conclusions? Clinical nurses of Infectious Disease Department have the low score of competitive attitude. The work lives and professional titles are the influencing factors of excessive competition. Nursing managers of infectious disease department should establish a reasonable competitive mechanism to allow full paly to benign competition, avoid excessive competition and improve whole competitiveness.