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目的探讨慢性乙肝患者不同文化程度对疾病控制的关系。方法选取2010年4月~2013年4月茶陵县疾病预防控制中心收治的慢性乙肝患者100例,按照文化程度不同分为“高中及以上组”(n=56)与“初中及以下组”(n=44),初诊时2组患者均进行乙肝知识健康教育,复诊时通过定期复检肝功能及HBV-DNA水平,观察2组患者慢性乙肝控制情况。结果 (1)高中及以上组对一般知识、药物治疗、合理饮食及自我调养等方面得分均显著优于初中及以下组,差异有统计学意义(P<0.01);(2)根据自行设计的慢性乙肝患者疾病控制评价量表,高中及以上组总得分显著高于初中及以下组,差异有统计学意义(P<0.01);(3)高中及以上组56例患者中有6例肝功能异常,HBV-DNA有9例阳性;初中及以下组44例患者中有12例肝功能异常,HBV-DNA有14例阳性。结论文化程度较高的患者对慢性乙肝知识掌握情况较好,且其级别控制也比较理想。
Objective To explore the relationship between different education levels and disease control in chronic hepatitis B patients. Methods From April 2010 to April 2013, 100 patients with chronic hepatitis B who were admitted to the Center for Disease Control and Prevention of Chaling County were selected and divided into “high school and above group” (n = 56) and junior high school The following group "(n = 44), the first group of patients with hepatitis B knowledge of health education, regular follow-up examination of liver function and HBV-DNA levels at follow-up to observe the two groups of patients with chronic hepatitis B control. Results (1) The score of general knowledge, drug treatment, reasonable diet and self-recuperation of high school and above group were significantly better than those of junior high school and lower group (P <0.01); (2) According to the self- The total score of high school and above group was significantly higher than that of junior high school and lower group (P <0.01). (3) Six of 56 patients in high school and above group had liver function Abnormalities were found in 9 cases of HBV-DNA. In 44 cases of junior high school and below, 12 cases had abnormal liver function and 14 cases were positive for HBV-DNA. Conclusion Patients with higher education level have good knowledge of chronic hepatitis B and their level of control is also ideal.