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慢性丙型肝炎治愈后希望感增强。

Increased hope following successful treatment for hepatitis C infection.

机构信息

Department of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.

Department of Infectious Diseases, Akershus University Hospital, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.

出版信息

J Adv Nurs. 2018 Mar;74(3):724-733. doi: 10.1111/jan.13487. Epub 2017 Nov 24.

Abstract

AIMS

To evaluate hope in hepatitis C patients 9 years after curative treatment with pegylated interferon and ribavirin.

BACKGROUND

Successful treatment of hepatitis C leads to improved quality of life in responders compared with non-responders. The long-term effect of successful treatment on hope in these patients is not known.

DESIGN

Cross-sectional follow-up study of patients who displayed a sustained virological response to previous hepatitis C treatment.

METHODS

Patients infected with hepatitis C genotype 2 or 3 from a randomized controlled study during 2004-2006 were included. A representative subgroup of those who achieved a sustained virological response was re-evaluated in 2012-2014. The patients were examined, had a blood test and completed a questionnaire (Herth Hope Index and demographic and clinical characteristics). The hope level was compared between patients and an age-matched sample from the general population (N = 1,481). The data were analysed using multiple regression.

RESULTS

A total of 104 Norwegian and Swedish hepatitis C patients were included in this follow-up study; their mean age was 48 years, and 61% were men. Patients treated for hepatitis C scored higher than the general population on the total Herth Hope Index and for 11 of the 12 individual items. Age, gender, educational level, employment status and civil status were associated with a higher Herth Hope Index in those who had received hepatitis C treatment.

CONCLUSION

Patients achieving a sustained viral response had a higher hope level than the general population 9 years after successful treatment of hepatitis C virus infection.

摘要

目的

评估丙型肝炎患者在接受聚乙二醇干扰素和利巴韦林治愈性治疗 9 年后的希望水平。

背景

成功治疗丙型肝炎可使应答者的生活质量得到改善,而与无应答者相比。目前尚不清楚成功治疗对这些患者的希望的长期影响。

设计

对曾接受丙型肝炎治疗且显示持续病毒学应答的患者进行横断面随访研究。

方法

纳入了 2004-2006 年一项随机对照研究中感染丙型肝炎基因型 2 或 3 的患者。对其中获得持续病毒学应答的有代表性的亚组患者在 2012-2014 年进行了重新评估。对患者进行了检查、血液检查,并完成了一份问卷(Herth 希望指数以及人口统计学和临床特征)。将患者的希望水平与年龄匹配的一般人群样本(n=1481)进行了比较。采用多元回归分析进行数据分析。

结果

本随访研究共纳入了 104 名挪威和瑞典丙型肝炎患者;他们的平均年龄为 48 岁,61%为男性。丙型肝炎治疗患者在总 Herth 希望指数和 12 个单项中的 11 个单项上的得分均高于一般人群。在接受丙型肝炎治疗的患者中,年龄、性别、教育程度、就业状况和婚姻状况与更高的 Herth 希望指数相关。

结论

丙型肝炎病毒感染治愈 9 年后,获得持续病毒学应答的患者的希望水平高于一般人群。

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