Evaluation of the effect of nursing intervention based on the knowledge attitude action model on reducing the non standardized discontinuation rate of chronic hepatitis B patients
基于知信行模式的护理干预对降低慢性乙型肝炎患者非规范停药率的效果评价

摘要

目的 分析在慢性乙型肝炎患者非规范停药中应用基于知信行模式的护理干预的医学效果。方法 将华中科技大学同济医学院附属同济医院于2024年1月-12月确诊慢性乙型肝炎的患者76例作为研究对象，对照组38例采取常规护理，观察组38例基于知信行模式的护理干预，对比两组患者护理前后的观察指标。结果 护理后，观察组的健康信念评分、非规范停药率以及服药依从性评分优于对照组，对比有统计学意义（P＜0.05）。结论 在慢性乙型肝炎患者非规范停药中应用基于知信行模式的护理干预可激发患者的健康信念，从而树立健康行为，强化服药依从性，降低非规范停药率。

Abstract

Objective To analyze the medical effect of nursing intervention based on the knowledge, belief, and action model in non-standard discontinuation of medication in patients with chronic hepatitis B.
Methods A total of 76 patients diagnosed with chronic hepatitis B at Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology from January to December 2024 were selected as the study subjects. The control group consisted of 38 patients who received routine nursing care, while the observation group consisted of 38 patients who received nursing interventions based on the knowledge, belief, and action model. The observation indicators before and after nursing care were compared between the two groups of patients.
Results After nursing, the health belief score, non-standard discontinuation rate, and medication adherence score of the observation group were better than those of the control group, and the comparison was statistically significant (P<0.05).
Conclusion   The application of nursing interventions based on the knowledge, belief, and action model in the non-standard discontinuation of medication in patients with chronic hepatitis B can stimulate patients' health beliefs, establish healthy behaviors, strengthen medication compliance, and reduce the rate of non-standard discontinuation.