The effect of multiplex nursing intervention measures on the breathing exercise of multidrug-resistant tuberculosis patients

doi:10.3969/j.issn.2095-3755.2018.01.009

Abstract

Abstract:

Objective To explore the effect of diverse nursing intervention measures on respiratory function exercise of MDR-TB (multidrug-resistant tuberculosis) patients.Methods A total of 123 inpatients with MDR-TB were enrolled in Xi’an Chest Hospital from Oct 2015 to Sep 2017. Fifty four cases of MDR-PTB inpatients from Oct 2015 to Sep 2016 (control group) were educated tuberculosis knowledge by nurses and breathing function exercise during hospitalization. Meanwhile,they were provided health education prescriptions and reminded exercise after discharged from hospital and required rechecking. Sixty nine cases of MDR-PTB inpatients from Oct 2016 to Sep 2017 (observation group) received more comprehensive and effective intervention measures including education in beeper, respiratory function training in video, health education in brochures and bulletin board, multimedia health education symposium (WeChat group, Wechat Official Account) and learning breathing exercise from nurses. One hundred and twenty-three patients were investigated about compliance, methods and knowledge of respiratory function exercise by face-to-face communication after 3 months discharge. SPSS 18.0 software was used for statistics, and counting data were tested by chi square test. P<0.05 was as the significant difference statistically.Results The compliance rate of respiratory function exercise (81.16% (56/69)), mastery rate of respiratory function exercise (84.06% (58/69)), awareness rate of knowledge of disease and respiratory function exercise (81.16% (56/69)), the rate of satisfaction with nursing work (94.20% (65/69)) in observation group were higher than that in the control (53.70% (29/54),51.85% (28/54),64.81% (35/54),81.48% (44/54))(χ ²=10.70,P=0.001;χ ²=14.39,P=0.000;χ ²=4.20,P=0.040;χ ²=4.86,P=0.027, respectively). The reasons for the two groups of patients who did not exercise respiratory function were “it is considered ineffective “(44.74% (17/38)),” no time “(7.89% (3/38)),” method not mastered “(10.53% (4/38)),” cause of disease “(15.79% (6/38)),” unsupervised “(15.79% (6/38))” and “other” (5.26% (2/38)), respectively.Conclusion Diversified nursing intervention can significantly improve the compliance of the MDR-TB patients with respiratory function exercise and the satisfaction to health care work.

Key words: Tuberculosis, pulmonary, Nursing education research, Tuberculosis, multidrug-resistant, Breathing exercise, Patient compliance

Xue-jiao JIANG,Fei REN,You XU,Ling YANG. The effect of multiplex nursing intervention measures on the breathing exercise of multidrug-resistant tuberculosis patients[J]. Journal of Tuberculosis and Lung Health , 2018, 7(1): 37-43. doi: 10.3969/j.issn.2095-3755.2018.01.009

Figures/Tables 6

References 23

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社会人口学特征	对照组(54例)		观察组(69例)		χ²值	P值
社会人口学特征	例数	构成比(%)	例数	构成比(%)	χ²值	P值
性别					0.05	0.830
男	35	64.81	46	66.67
女	19	35.19	23	33.33
年龄(岁)					0.09	0.765
<40	17	31.48	20	28.99
≥40	37	68.52	49	71.01
民族					0.65	0.421
汉族	52	96.30	68	98.55
回族	2	3.70	1	1.45
职业					0.39	0.532
农民	22	40.74	32	46.38
非农民	32	59.26	37	53.62
文化程度					0.07	0.799
小学	13	24.07	18	26.09
初中以上	41	75.93	51	73.91

组别	未进行呼吸功能锻炼	偶尔进行呼吸功能锻炼	坚持进行呼吸功能锻炼	依从性 (合计)
对照组(54例)	25(46.30)	21(38.89)	8(14.81)	29(53.70)
观察组(69例)	13(18.84)	31(44.93)	25(36.23)	56(81.16)
χ²值	10.70	0.45	7.08	10.70
P值	0.001	0.501	0.008	0.001

组别	未掌握	部分掌握	完全掌握	掌握(合计)
对照组(54例)	26(48.15)	17(31.48)	11(20.37)	28(51.85)
观察组(69例)	11(15.94)	30(43.48)	28(40.58)	58(84.06)
χ²值	14.39	1.85	5.71	14.39
P值	0.000	0.174	0.016	0.000

组别	不知晓	部分知晓	完全知晓	知晓(合计)
对照组(54例)	19(35.19)	20(37.04)	15(27.78)	35(64.81)
观察组(69例)	13(18.84)	20(28.99)	36(52.17)	56(81.16)
χ²值	4.20	0.85	7.43	4.20
P值	0.040	0.344	0.006	0.040

组别	不满意	基本满意	完全满意	满意度(合计)
对照组(54例)	10(18.52)	17(31.48)	27(50.00)	44(81.48)
观察组(69例)	4(5.80)	27(39.13)	38(55.07)	65(94.20)
χ²值	4.86	0.77	0.31	4.86
P值	0.027	0.380	0.576	0.027