摘要
目的通过回溯性随访丙型肝炎病毒抗体(抗-HCV)阳性住院患者,了解其诊治现状,宣教丙型肝炎知识,以提高高危患者对于丙型肝炎病毒的认知。方法肝病专科医生电话随访西安医学院第一附属医院2021年7月1日—2022年2月15日抗-HCV阳性的住院患者共364例,随访内容包括:了解患者基本情况、根据其是否知晓抗-HCV阳性及丙型肝炎诊治现状,进行具体宣教,随访结束前,征询患者对宣教知识的理解,是否愿意进一步确诊及治疗。结果在此次随访的364例患者中,到对丙型病毒性肝炎知情者38.5%,不知情者42.3%,19.2%的患者未取得联系。知情患者中:未确诊患者12.9%,确诊未治疗患者28.5%。不知情患者中:79.0%不知情患丙型肝炎,10.8%不知情丙型肝炎可以治愈,7.7%不知情丙型肝炎药物降价且医保可及,2.6%患者知情但同时不知可治愈和已降价。对知情未诊治及不知情患者进行丙型肝炎知识宣教后,患者对疾病的认知率、愿意进一步确诊率及愿意治疗率均显著增长,76.3%(184/241人)患者非常愿意再次进行治疗检测,10.4%的患者拒绝接受治疗和检测。结论对抗-HCV阳性住院患者进行回溯性随访与丙型肝炎知识及医保政策宣教,不仅是提升高危人群丙型肝炎认知的重要方法,也是医院内消除丙型肝炎的有效补充措施,对全力提高丙型肝炎确诊率、治疗率具有重要意义。
Objective To investigate the status of diagnosis and treatment in inpatients with positive hepatitis C antibody through retrospective follow-up,and to educate the knowledge of hepatitis C,so as to improve the awareness of hepatitis C virus(HCV)in high-risk patients.Methods A total of 364 inpatients with anti-HCV positive admitted to our hospital from July 1,2021 to February 15,2022 were followed up.Including understand the basic situation of the patients and conduct specific education according to whether they were aware of anti-HCV positivity and the current status of diagnosis and treatment of hepatitis C.Before the end of the follow-up visit,consulted the patients about their willing of the medical knowledge education and whether they were willing to further confirm the diagnosis and treatment.Results Among the 364 patients,38.5%were aware of hepatitis C,42.3%were unaware,and 19.2%were loss to follow up.Among the informed patients:12.9%were undiagnosed patients and 28.5%were diagnosed and untreated patients.Among the unaware patients:79.0%were unaware that they had hepatitis C,10.8%were unaware that hepatitis C could be cured,7.7%were unaware that the price of drugs had been reduced and that health insurance was available,and 2.6%were informed but unaware of both the cure and the price reduction.After educating patients about hepatitis C knowledge,the patients'awareness rate of the disease,the rate of willingness to further diagnose and the rate of willingness to treat all increased significantly,and 76.3%(184/241)of the patients expressed their willingness to treat and test very positively,11.6%of patients refused treatment and testing.Conclusion Retrospective follow-up of anti-HCV positive inpatients and education on hepatitis C knowledge and health insurance policies are not only an important means to raise awareness of hepatitis C among high-risk groups,but also an effective complementary measure to eliminate hepatitis C in hospitals,which is of great significance to fully improve the diagnosis and treatme
作者
郝帅
闫红林
孔繁娇
张小颖
韩阳
郭飞虎
贺娜
HAO Shuai;YAN Hong-lin;KONG Fan-jiao;ZHANG Xiao-ying;HAN Yang;GUO Fei-hu;HE Na(The First Affiliated Hospital of Xi'an Medical College,Shaanxi 710006,China;Department of Laboratory Medicine,the First Affiliated Hospital of Xi'an Medical College,Shaanxi 710006,China;Department of Gastroenterology,the First Affiliated Hospital of Xi'an Medical College,Shaanxi 710006,China)
出处
《肝脏》
2023年第3期305-308,共4页
Chinese Hepatology
基金
西安医学院大学生创新创业训练计划项目(202111840012)
陕西省教育科学“十三五”规划2020年度课题(SGH20Y1330)
佑安肝病感染病专科医疗联盟专项基金(LM202003)。
关键词
丙型肝炎病毒
回溯性随访
提升认知
应用研究
Hepatitis C virus
Retrospective follow-up
Raising awareness
Applying research
