【摘要】 目的分析北京市某三级甲等医院2012年以来慢性肝病会员随访管理横断面数据,包括会员基础资料、疾病、抗病毒用药及结局指标数据,为规范会员随访管理提供依据。方法使用SPSS 20.0统计数据,采用描述性分析方法分析数据。结果 7 235例会员中,非北京常住会员占会员总人数的52.0%,慢性肝病会员中有HBV、HCV病毒感染者占总会员人数的71.2%,HBV病毒感染者占总会员人数的61.9%。恩替卡韦较其他抗病毒药物用药时间长、人数多,用药时间超过1年人数占总用药人数的83.2%。电话随访成功率为50%左右,约78%的会员接听电话后能配合随访人员完成电话随访。结论会员失访率高,电话随访中非传染性慢性肝病及接受母婴抗病毒阻断的会员配合程度差,会员普遍自我健康管理意识差、能力弱。建议多措并举,提高会员规律复诊及健康意识,降低会员失访率,重视非传染性慢性肝病会员,随访管理标准化与个体化相结合,提高会员抗病毒用药管理的精准性。更多还原

【Abstract】 Objective To analyze the cross-sectional data of follow-up and management(including data about basic characteristics,diseases,anti-virus medications and outcomes)for patients members with chronic liver disease from You’an hospital since 2012,and to provide reference for the management of follow-up.Methods SPSS 20.0 statistical software was used and descriptive analysis method was applied to analyze the data.Results Among 7 235 patients,52.0% were non-permanent residents.71.2% of the patients were infected with both HBV and HCV.61.9% were HBV infected patients.Entecavir was used for a longer time than other antiviral drugs.Drugs was used more than 1 year among 83.2% of the patients.The successful rate of telephone follow-up was about 50%.78% of the members could complete the telephone follow-up after answering the phone.Conclusion In this investigation,the rate of lost to follow-up was high.Patients with non-infectious chronic liver disease or who received treatment for prevention of mother-to-child transmission were uncompliant.Generally members lacked awareness and ability of self-health-management.Multiple measures should be applied to improve the regular referral and health awareness of patients to reduce the rate of lost to follow-up.Non-infectious chronic liver disease members should be paid more attention.And the standardization and individualization of the follow-up management should be combined to improve accuracy of the antiviral drugs treatment.更多还原