本文關(guān)鍵詞：健康教育對(duì)肝硬化門脈高壓患者遵醫(yī)行為及康復(fù)的影響　出處：《中國(guó)健康教育》2017年08期 　論文類型：期刊論文

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【摘要】：目的探究健康教育對(duì)肝硬化門脈高壓患者遵醫(yī)行為及康復(fù)的影響。方法將2015年3月—2016年6月住院治療的120例肝硬化門脈高壓患者納入研究,采用隨機(jī)數(shù)字表法隨機(jī)分為觀察組和對(duì)照組,每組各60例。對(duì)照組實(shí)施常規(guī)健康教育,觀察組在此基礎(chǔ)上采取多形式、多內(nèi)容、系統(tǒng)化且有針對(duì)性的健康教育。調(diào)查2組患者對(duì)肝硬化門脈高壓相關(guān)知識(shí)認(rèn)知、遵醫(yī)行為及生活質(zhì)量的變化情況。結(jié)果健康教育后,觀察組患者對(duì)發(fā)病機(jī)制(68.33%vs 30.00%)、常見癥狀及并發(fā)癥(90.00%vs 75.00%)、飲食原則(73.33%vs 53.33%)、坐臥體位(91.67%vs 25.00%)、活動(dòng)方式(76.67%vs 21.67%)、肝功能指標(biāo)(90.00%vs 66.67%)的知曉率均高于對(duì)照組(P0.05);觀察組對(duì)禁酒(81.67%vs 56.67%)、禁食粗糙生硬食物(83.33%vs 55.00%)、勞逸結(jié)合(71.67%vs 26.67%)、監(jiān)測(cè)病情(60.00%vs 13.33%)、定期復(fù)查肝功能(81.67%vs 18.33%)的遵醫(yī)行為依從率均高于對(duì)照組(P0.05);觀察組各項(xiàng)生活質(zhì)量評(píng)分指標(biāo)均優(yōu)于對(duì)照組(P0.05)。結(jié)論對(duì)肝硬化門脈高壓患者進(jìn)行健康教育能夠有效提高患者對(duì)疾病的認(rèn)知,增強(qiáng)其遵醫(yī)行為依從性,抑制肝硬化門脈高壓的進(jìn)一步惡化,預(yù)防嚴(yán)重致死性并發(fā)癥的發(fā)生,最終有效提高患者生活質(zhì)量,促進(jìn)患者康復(fù)。
[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.
【作者單位】： 長(zhǎng)沙市第一醫(yī)院;
【分類號(hào)】：R473.5
【正文快照】： 張春元,范小艷,蔣科ZHANG Chun-yuan,FAN Xiao-yan,JIANG Ke肝硬化門脈高壓癥是一種常見的慢性遷延反復(fù)性疾病,具有并發(fā)癥多、預(yù)后差的特點(diǎn),需要進(jìn)行系統(tǒng)化且長(zhǎng)時(shí)間連續(xù)性干預(yù)治療。肝硬化門脈高壓時(shí)血流受阻,門靜脈內(nèi)血流常發(fā)生逆流并產(chǎn)生側(cè)支循環(huán),出現(xiàn)靜脈曲張癥狀,容易導(dǎo)致

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