关键词: 结核,肺, 抗药性,多药, 临床护理研究, 护理评价研究

Abstract:

Objective: To evaluate the application effect of diversified missionary nursing on multidrug-resistant pulmonary tuberculosis (MDR-PTB) patients. Methods: A total of 115 MDR-PTB patients admitted to the Tuberculosis Department of Shanghai Pulmonary Hospital from March 2019 to March 2022 were selected as the study subjects. They were divided into an observation group (58 cases) and a control group (57 cases) using a random number table method. The control group received routine nursing intervention, while the observation group received diversified missionary nursing except for routine nursing. Intervention for the patients in two began after admission and last for one month. The depression and anxiety emotions of the study subjects were evaluated using the Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA); the treatment compliance was evaluated based on their performance and compliance with medical practices; the nursing satisfaction was evaluated using a self-made satisfaction survey questionnaire; the quality of life was evaluated using the Quality of Life Assessment Scale (SF-36); and the self-care ability was evaluated by using the Self Care Ability Assessment Scale (ESCA). Results: After intervention, the HAMD and HAMA scores of the observation group were 18.13±1.48 and 22.46±3.12, respectively, significantly lower than those of the control group (21.63±1.33 and 27.07±3.08)(t values were 13.331 and 7.973, both P<0.001). The treatment compliance rate and nursing satisfaction rate of the observation group were 94.8% (55/58) and 96.6% (56/58), which were significantly higher than those of the control group (77.2% (44/57) and 82.5% (47/57), respectively), and the differences were statistically significant (χ² values were 7.464 and 6.112, P values were 0.006 and 0.013). After intervention, the quality of life, self-concept, sense of responsibility, nursing skills, and health knowledge scores of the observation group were 81.45±8.60, 26.69±3.74, 20.25±3.21, 38.87±5.22, and 52.47±7.30, respectively, which were significantly higher than those of the control group (70.52±7.92, 20.47±3.86, 17.41±3.10, 31.96±5.24, and 46.22±6.84, respectively), the differences were statistically significant (t values were 4.086, 8.776, 4.825, 7.084, 4.736, all P values <0.001). Conclusion: Diversified missionary nursing can improve the treatment compliance and life quality of MDR-PTB patients, enhance the nursing satisfaction and the self-care ability.

Key words: Tuberculosis, pulmonary, Drug resistance, multiple, Clinical nursing research, Nursing evaluation research