集束化护理对耐药肺结核患者治疗依从性及预后效果的评价

doi:10.19983/j.issn.2096-8493.20230124

结核与肺部疾病杂志 ›› 2023, Vol. 4 ›› Issue (6): 454-456.doi: 10.19983/j.issn.2096-8493.20230124

集束化护理对耐药肺结核患者治疗依从性及预后效果的评价

王丹凤¹(), 杜桂春²

¹沈阳市第十人民医院结核科八病区,沈阳 110044
²沈阳市第十人民医院护理部,沈阳 110044

收稿日期:2023-10-23 出版日期:2023-12-20 发布日期:2023-12-18
通信作者: 王丹凤,Email:573695093@qq.com

Evaluation of focused nursing care on treatment compliance and prognosis of drug-resistant pulmonary tuberculosis patients

Wang Danfeng¹(), Du Guichun²

¹Ward 8, Tuberculosis Department, the 10th People’s Hospital of Shenyang, Shenyang 110044, China
²Nursing Department, the 10th People’s Hospital of Shenyang, Shenyang 110044, China

Received:2023-10-23 Online:2023-12-20 Published:2023-12-18
Contact: Wang Danfeng, Email: 573695093@qq.com

摘要/Abstract

摘要：

目的: 评价集束化护理对耐药肺结核患者治疗依从性及预后的效果。方法: 选取2021年12月至2022年11月在沈阳市第十人民医院治疗的耐药肺结核患者作为研究对象,共100例。根据患者入院时间,采用随机数字表法分为对照组(50例)和观察组(50例)。对照组采用常规护理模式,观察组在常规护理模式基础上采用集束化护理。比较两组研究对象治疗依从性、身体恢复状况、心理恢复状况的评分情况,以及护理满意度。结果: 观察组治疗依从性、身体恢复状况、心理恢复状况评分分别为(41.89±2.35)分、(51.56±4.56)分、(55.53±5.75)分,对照组分别为(15.19±3.26)分、(34.62±3.17)分、(32.35±5.42)分;观察组各指标评分均明显高于对照组,差异均有统计学意义(t值分别为13.271、15.231、12.241,P值均<0.05)。观察组护理满意度为96.0%(48/50),明显高于对照组的60.0%(30/50),差异有统计学意义(χ²=13.785,P<0.05)。结论: 在耐药肺结核患者的治疗过程中,采用集束化护理干预可以有效提高患者治疗的依从性,以及日常生活质量,增强患者的信心。

关键词: 结核,肺, 抗药性, 临床护理研究, 护理评价研究

Abstract:

Objective: To evaluate the effect of focused nursing care on treatment compliance and prognosis of drug-resistant pulmonary tuberculosis patients. Methods: A total of 100 drug-resistant pulmonary tuberculosis patients who were treated in Shenyang 10th People’s Hospital from December 2021 to November 2022 were selected as the research subjects. According to the admission time, they were divided into a control group (50 cases) and an observation group (50 cases) using a random number table method. The control group adopted routine nursing mode, while the observation group adopted cluster nursing in addition to the routine nursing mode. The scores of treatment compliance, physical recovery, and psychological recovery between the two groups were compared. Results: The treatment compliance, physical recovery, and psychological recovery scores of the observation group were 41.89±2.35, 51.56±4.56, and 55.53±5.75, respectively, and were 15.19±3.26, 34.62±3.17, and 32.35±5.42, respectively, in the control group. The scores of all indicators in the observation group were significantly higher than those in the control group, and the differences were statistically significant (t values were 13.271, 15.231, and 12.241, respectively, all P<0.05). The nursing satisfaction rate in the observation group was 96.0% (48/50), which was significantly higher than that in the control group (60.0% (30/50)), and the difference was statistically significant (χ²=13.785, P<0.05). Conclusion: During the treatment of drug-resistant pulmonary tuberculosis patients, adopting focused nursing care can effectively improve the treatment compliance, improve the quality of life, and enhance the confidence.

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

中图分类号:

王丹凤, 杜桂春. 集束化护理对耐药肺结核患者治疗依从性及预后效果的评价[J]. 结核与肺部疾病杂志, 2023, 4(6): 454-456. doi: 10.19983/j.issn.2096-8493.20230124

Wang Danfeng, Du Guichun. Evaluation of focused nursing care on treatment compliance and prognosis of drug-resistant pulmonary tuberculosis patients[J]. Journal of Tuberculosis and Lung Disease, 2023, 4(6): 454-456. doi: 10.19983/j.issn.2096-8493.20230124

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集束化护理对耐药肺结核患者治疗依从性及预后效果的评价

Evaluation of focused nursing care on treatment compliance and prognosis of drug-resistant pulmonary tuberculosis patients

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