以质量求发展,以服务铸品牌

Journal of Nursing ›› 2019, Vol. 26 ›› Issue (14): 71-76.doi: 10.16460/j.issn1008-9969.2019.14.071

Previous Articles     Next Articles

Effect of Peer Education on Medication Compliance of Patients with Chronic Hepatitis B

ZHU Zheng-yuna, ZHANG Ting-tinga, ZHAO Wen-haia, ZHANG Zhe-haob, XU Feng-qinb   

  1. a. Dept. of Infectious Disease; b. Dept. of Nursing Administration, the First Affiliated Hospital of Kangda College of Nanjing Medical University, Xuzhou Medical Univeristy Affiliated Hospital of Lianyungang, the First Pepole's Hospital of Lianyungang,Lianyungang 222002, China;
  • Received:2019-02-16 Published:2020-07-08

Abstract: Objective To explore the effect of peer education on medication compliace of oral antiviral drugs of patients with chronic hepatitis B. Methods Ninety chronic hepatitis B patients taking antiviral drugs orally from June 2015 to December 2017 were randomly divided into observation group with peer education (n=45 and control group with routine nursing (n=45. Intervention time was from admission to 3 months after discharge. Psychological pressure, knowledge on related disease and medication and medication compliance after discharge were compared in the two groups. Results It was common to observe psychological pressure among patients with chronic hepatitis B but the score of psychological pressure in the observation group was significantly lower than that in the control group in discharge and at the end of 3 months of discharge (P<0.05. The score of knowledge on related diseases and medication in the two groups showed statistical significance (F=20.800, P<0.001 and the score of medication compliance in the two groups was statistically significant (F=16.071, P<0.001. The score of knowledge on related diseases and medication in the observation group was higher at the end of the first and third month of discharge (all P<0.05 and the score of medication compliance in the observation group at the second and third month of discharge was higher (all P<0.05. Conclusion It is common to observe psychological pressure among patients with chronic hepatitis B taking antiviral drugs orally for a long time. Peer education is effective for alleviating psychological stress and improving knowledge on related diseases and medication and medication compliance.

Key words: chronic hepatitis B, antiviral, medication, peer education

CLC Number: 

  • R473.51
[1]李伟.替比夫定与恩替卡韦治疗慢性乙型肝炎患者对肾脏功能影响的比较[D].重庆:重庆医科大学,2017.
[2]Kongkaew C, Noyce P R, Ashcroft D M.Hospital Admissions Associated with Adverse Drug Reactions: A Systematic Review of Prospective Observational Studies[J].Annal Pharmaco,2008,42(7):1017-1025.DOI:10.1345/aph.1L037.
[3]于清,蔡浩东,王桂爽,等.慢性乙肝患者治疗依从性及健康教育需求调查[J].中华现代护理杂志,2012,18(20):2400-2403.DOI:10.3760/cma.j.issn.1674-2907.2012.20.014.
[4]刘勇,许筱伦,仇永亮.心理护理干预对肝硬化患者自我疾病感知及生活质量的影响[J].中国现代医生,2016,54(23):145-148.
[5]程芳,孟爱凤,羊丽芳,等.同伴教育对永久性结肠造口患者术后早期社会心理适应的影响[J].中华护理杂志,2013,48(2):106-108.DOI:10.3761/j.issn.0254-1769.2013.02.002.
[6]Kornhaber R, Wilson A, Abu-Qamar M, et al.Inpatient Peer Support for Adult Burn Survivors-a Valuable Resource: A Phenomenological Analysis of the Australian Experience[J].Burns,2015,41(1):110-117.DOI:10.1016/j.burns.2014.05.003.
[7]Dennis C L.The Process of Developing and Implementing a Telephone-based Peer Support Program for Postpartum Depression: Evidencefrom Two Randomized ContolledTrials[J].Trials,2014(15):1. DOI:10.1186/1745-6215-15-131.
[8]刘丽娟,吴力群,陈金晶.同伴支持教育在前列腺癌术后患者延续性护理中的应用[J].中华现代护理杂志, 2015,21(12):1434-1437.DOI:10.3760/cma.j.issn.1674-2907.2015.12.022.
[9]吴丽琴,徐勤容,陈育群,等.同伴教育对糖尿病患者自我管理、血糖监测行为及糖代谢指标的影响[J]. 护理学报,2018,25(4):70-73.DOI:10.16460/j.issn1008-9969.2018.04.070.
[10]崔展宇,王冶,晁华,等.慢性乙肝患者一般心理压力水平、压力源及压力反应的调查分析[J].山东医药,2014,54(25):90-91.DOI:10.3969/j.issn.1002-266X.2014.25.039.
[11]徐六妹,吴宝红,陈素青,等.心理护理结合同伴教育对艾滋病患者抗病毒治疗服药依从性的影响[J].护理管理杂志,2015,15(8):587-590.
[12]朱正云,孟卉,张婷婷,等.口服抗病毒药物慢性病毒性乙型肝炎患者微信随访效果观察[J].护理学报,2017,24(10):71-75.DOI:10.16460/j.issn1008-9969.2017.10.071.
[13]牛林艳,黄金.同伴教育在糖尿病健康教育中的应用现状[J].中华护理杂志,2014,49(1):79-82.DOI:10.3761/j.issn.0254-1769.2014.01.020.
[14]刘倩,曹春艳,张新翠,等.群组看病及同伴教育对痤疮患者遵医行为的影响[J].中华皮肤科杂志,2018,51(5):378-381.DOI:10.3760/cma.j.issn.0412-4030.2018.05.014.
[15]陈梦瑾,李海香,黄春香,等.同伴教育对肿瘤患者PICC自我管理能力和并发症的影响[J].护理学报,2018,25(8):75-78. DOI:10.16460/j.issn1008-9969.2018.08.075.
[1] CHEN Meng-jin,LI Hai-xiang,HUANG Chun-xiang,YAO Xiong,WANG Xi-ying,YANG Jie-wei. Effect of Peer Education on Self-management and Complication of Cancer Patients with PICC [J]. Journal of Nursing, 2018, 25(8): 75-78.
[2] DU Chun-yan,WU Si-si,LIU Hong-xia,SHANG Ya-bin,LI Jia-qi,HU Yue. Belief about Medication in Adult Liver Transplant Recipients:A 278-case Study [J]. Journal of Nursing, 2017, 24(17): 12-15.
[3] NING Yan-chun,GONG Shi-jiang,WEI Xiu-bai,QI Mao-chao,TANG Yue-lu,MENG Zhi-hao. Effect of QQ Group Platform-based Health Education in HIV/AIDS Patients with Antiviral Treatment [J]. Journal of Nursing, 2017, 24(11): 59-62.
[4] LIU Hong-xia,TENG Sha,ZHANG Shu-ping,ZHANG Wen-xin. Correlation between Medication Compliance and Health-related Quality of Life of Kidney Transplant Recipient [J]. Journal of Nursing, 2015, (3): 33-37.
[5] BIAN Yan,YANG Ling,JIN Ping. Anti-clotting Drug Surveillance and Follow-up on Medication Compliance and Therapeutic Effect of Children with Congenital Heart Disease [J]. Journal of Nursing, 2015, (3): 70-73.
[6] CHEN Jing-fang,WANG Hui-zhen. Correlation between Social Supports and Medication Compliance of AIDS Patients [J]. Journal of Nursing, 2014, (4): 1-3.
[7] YIN Jun-hua,CAI Shao-hang,LI Bing,ZHONG Chun-xiu. Influencing Factors of Compliance with Return Visit in Chronic Hepatitis B Patients [J]. Journal of Nursing, 2014, (11): 26-29.
[8] . Clinical Nurses’ Cognition on Medication Errors [J]. Journal of Nursing, 2013, (9): 8-10.
[9] . Attitude toward, Knowledge and Skill of High-Alert Medication Exosmosis of Head Nurse [J]. Journal of Nursing, 2013, (9): 19-21.
[10] . Application of Scene Simulation Teaching in Teaching of Medication Care [J]. Journal of Nursing, 2013, (7): 12-14.
[11] . Medication Compliance of Elderly Patients with Hypertension in Community and Its Influencing Factors [J]. Journal of Nursing, 2013, (6): 7-9.
[12] . Medication Safety of Town Residents in Dongguan City and Its Influencing Factors [J]. Journal of Nursing, 2013, (3): 28-31.
[13] LU De-yan,YANG Hui-ling,DU Juan,LIU Jin-feng,CHEN Tian-yan. Composition of Hospitalization Cost of Patients with Severe Chronic Hepatitis B and Its Influencing Factors [J]. Journal of Nursing, 2013, (13): 16-17.
[14] . Cognition and Implementation Status of Nasal Feeding Medicine among Clinical Nurses and the Strategy [J]. Journal of Nursing, 2013, (1): 12-14.
[15] . Application of Quality Control Circle in Improving Time Accuracy of Intravenous Medication [J]. Journal of Nursing, 2013, (1): 15-16.
Viewed
Full text


Abstract

Cited

  Shared   
[1] LI Yuan, ZHANG Rui, LU Yan-yan, Ning Pei, LI Xue, MENG Qing-hui. Study Methods of Nursing Postgraduates of Critical Illness from Perspectives of Tutors and Postgraduates[J]. Journal of Nursing, 2020, 27(11): 1 -5 .
[2] ZHAO Di, ZHAO Meng-Lu, WANG Na, FU Ming-Jing, LIANG Feng, ZHANG Wei, WANG Ai-Min. Current Status of Social Isolation of Community-dwelling Elderly People in Qingdao and Its Influencing Factors[J]. Journal of Nursing, 2020, 27(11): 6 -10 .
[3] . [J]. Journal of Nursing, 2020, 27(11): 11 -15 .
[4] XIE Yan-zhen, LI Zhuang-miao, ZHANG Jia-yu, JI Qiu-lu, WU Yu-xin. Bibliometric Analysis of Moxibustion for Hemiplegia after Stroke[J]. Journal of Nursing, 2020, 27(11): 16 -20 .
[5] . [J]. Journal of Nursing, 2020, 27(11): 21 -25 .
[6] ZHANG Ai-qin, CHEN Jun-shan, YU Jin-tian. Guidelines on Non-pharmacological Management of Delirium in ICU Patients:A Systematic Review[J]. Journal of Nursing, 2020, 27(11): 26 -32 .
[7] YE Dong-ting, ZHANG Qin-lian, JING Shuang, GUO Jia, XING Yan-fen. Psychological Experience of Family Members of ICU Patients during ICU Transfer: A Meta-synthesis[J]. Journal of Nursing, 2020, 27(11): 33 -39 .
[8] LIU Min, LIU An-nuo, WU De-quan, GAO Yu, CHEN Guo-hong, ZHU Gui-yue, ZHANG Meng, MA Wen, DING Cui-lu. Effect of Exercise on Walking Function of Elderly Type 2 Diabetic Patients:A Meta-analysis[J]. Journal of Nursing, 2020, 27(11): 40 -45 .
[9] GUO Xiao-yu, SHI Dong-li, ZHANG Zheng-mei, LI Na, ZHANG Pei-feng, YANG Li-juan. Best Evidence Summary for Early Removal of Urinary Catheters in Male Patients after Lumbar Spine Surgery under General Anethesia[J]. Journal of Nursing, 2020, 27(11): 46 -51 .
[10] . [J]. Journal of Nursing, 2020, 27(11): 52 -56 .