目的探讨门诊系统化健康教育对乙型肝炎患者病情控制和费用的影响。方法将132例门诊乙型肝炎患者随机分为两组,观察组82例,采用门诊系统化健康教育;对照组50例,采用一般门诊健康教育。比较两组患者1年后病情控制和治疗费用情况。结果两组患者在治疗1年后血清丙氨酸氨基转移酶(ALT)复常率、乙型肝炎e抗原(HBeAg)阴转率和乙型肝炎病毒(HBV)DNA阴转率及医疗费用方面比较,差异具有统计学意义(均P〈0.01),观察组疗效优于对照组,医疗费用明显减少。结论门诊系统化健康教育有利于乙型肝炎患者病情控制,并可节约医疗费用,减轻社会和患者家庭负担。
Objective To investigate the effect of systematic health education on the disease control and costs of patients with hepatitis B. Methods A total of 132 patientswith hepatitis B were randomly divided into the intervention group and the control group. 82 patients in the system intervention group received systematic health intervention by follow-up; 50 patients in the control group received general education. The status of disease control and cost were compared between two groups one year later. Results There were significant differences between the two groups in normalization rate of ALT, negative conversion ratio of HBeAg and HBV-DNA, and medical charge (P 〈 0.01 ). The disease improvement in the intervention group was better than that in the control group, and the medical charge reduced significantly. Conclusion System intervention is beneficial to the disease control of patients with hepatitis B, and it can save the medical charge and reduce the burden of society and the patient's family.