护理干预对初治活动性肺结核患者治疗依从性的影响
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摘要
目的探讨实施护理干预对初治活动性肺结核患者治疗依从性的影响。方法将2013年1月~2014年6月在我所抗结核治疗的314例初治活动性肺结核患者随机分为干预组162例和对照组152例。对照组按《中国结核病防治规划实施工作指南(2008年版)》(下简称《指南》)要求常规进行健康促进,干预组除按《指南》要求常规进行健康促进外,由责任护士有针对性地实施综合护理干预。在抗结核治疗期满后采用Morisky服药依从性量表评价两组患者对抗结核治疗的依从性。结果完成疗程后,干预组治疗依从性高的占45.7%,而对照组治疗依从性高的占22.4%,两组比较差异有统计学意义。结论通过护理干预可明显提高初治活动性肺结核患者抗结核治疗的依从性,提高肺结核的治愈率和患者的生活质量。
Objective To explore effect of nursing intervention on treatment compliance of patients with new active pulmonary tuberculosis. Methods 134 patients with new active pulmonary tuberculosis who were treated in our tuberculosis dispensary from January 2013 to June 2014 were randomly allocated to the intervention group(162 cases) and the control group(152 cases). The control group was received health promotion according to 2008 Edition of the Implementation of the China Tuberculosis Control Program(Referred to Guide). The intervention group was received comprehensive nursing intervention implemented by duty nurses as well as health promotion according to Guide. Compliances of treatment in tuberculosis of patients in two groups were evaluated according to Morisky Medicine-taking Compliance Scale at the end of anti-tuberculosis treatment period. Results After treatment, treatment compliance of the intervention group was 45.7% while treatment compliance of the control group was 22.4%. The difference between two groups had statistical significance. Conclusion Nursing intervention can significantly improve treatment compliance of patients with new active pulmonary tuberculosis, cure rate of pulmonary tuberculosis and life quality of patients.
Objective To explore effect of nursing intervention on treatment compliance of patients with new active pulmonary tuberculosis. Methods 134 patients with new active pulmonary tuberculosis who were treated in our tuberculosis dispensary from January 2013 to June 2014 were randomly allocated to the intervention group(162 cases) and the control group(152 cases). The control group was received health promotion according to 2008 Edition of the Implementation of the China Tuberculosis Control Program(Referred to Guide). The intervention group was received comprehensive nursing intervention implemented by duty nurses as well as health promotion according to Guide. Compliances of treatment in tuberculosis of patients in two groups were evaluated according to Morisky Medicine-taking Compliance Scale at the end of anti-tuberculosis treatment period. Results After treatment, treatment compliance of the intervention group was 45.7% while treatment compliance of the control group was 22.4%. The difference between two groups had statistical significance. Conclusion Nursing intervention can significantly improve treatment compliance of patients with new active pulmonary tuberculosis, cure rate of pulmonary tuberculosis and life quality of patients.
引文
[1]张斯钰,白丽琼,谭红专,等.Morisky服药依从性量表在肺结核患者中的应用[J].中国防痨杂志,2010,32(9):527-530.
[2]徐佳薇,汪洋,胡代玉.结核病患者服药依从性的影响因素及其促进措施[J].中国社会医学杂志,2007,24(2):135-137.
[3]李爱霞.影响肺结核病人治疗依从性因素调查分析[J].职业与健康,2003,19(8):135-136.
[4]中华人民共和国卫生部.中国结核病防治规划实施工作指南[M].北京:卫生部疾病预防控制局,2009:83-84.
[5]杨绍平,伍倚欣,马兰,等.系统性护理干预对初治肺结核病人负性情绪和生活质量的影响[J].全科护理,2012,25(1):275-276.
[6]杭小平,张兰凤,周建萍,等.延续性护理在癌症出院病人中的应用研究[J].护理研究,2014,28(10):3645-3646.
[7]康华,蒋晓莲.肺结核病人服药依从性的研究进展[J].护理学杂志,2004,19(15):76-78.
[8]郭艳丹.冠心病患者围手术期的心理护理[J].广东医学,2010,31(20):2736-2737.
[9]陈永红,童建明.护理干预对改善癫痫患儿生活质量的影响分析[J].护理实践与研究,2012,9(2):5-6.
[10]曾珂.102例肺结核患者的心理护理干预效果观察[J].护理实践与研究,2010,7(6):94-96.
[11]闫轩兰,范慧琴.结核病人的心理分析及护理[J].护理研究,2006,20(6):1625-1626.
[12]莫艳芬,张四凤,陈凤莲.肺结核患者的心理分析与护理对策[J].华北煤碳医学院学报,2005,7(2):216-218.
[13]陈小华,梁珏,李蜀,等.肺结核患者初治失败后的负性心理分析及干预[J].现代医院,2008,8(5):83-84.
[14]曹秀芳.综合护理干预在冠心病临床治疗中应用的效果评价[J].中国实用护理杂志,2011,27(32):19-20.
[15]张锐芝,周颐,周慧.综合护理干预在急性脑梗死临床治疗中的效果评价[J].实用医技杂志,2014,21(8):913-915.
[16]黄少玲,周琳,李妙琼,等.护理干预对耐多药肺结核患者生活质量的影响与评价[J].临床肺科杂志,2009,14(4):558-559.
[2]徐佳薇,汪洋,胡代玉.结核病患者服药依从性的影响因素及其促进措施[J].中国社会医学杂志,2007,24(2):135-137.
[3]李爱霞.影响肺结核病人治疗依从性因素调查分析[J].职业与健康,2003,19(8):135-136.
[4]中华人民共和国卫生部.中国结核病防治规划实施工作指南[M].北京:卫生部疾病预防控制局,2009:83-84.
[5]杨绍平,伍倚欣,马兰,等.系统性护理干预对初治肺结核病人负性情绪和生活质量的影响[J].全科护理,2012,25(1):275-276.
[6]杭小平,张兰凤,周建萍,等.延续性护理在癌症出院病人中的应用研究[J].护理研究,2014,28(10):3645-3646.
[7]康华,蒋晓莲.肺结核病人服药依从性的研究进展[J].护理学杂志,2004,19(15):76-78.
[8]郭艳丹.冠心病患者围手术期的心理护理[J].广东医学,2010,31(20):2736-2737.
[9]陈永红,童建明.护理干预对改善癫痫患儿生活质量的影响分析[J].护理实践与研究,2012,9(2):5-6.
[10]曾珂.102例肺结核患者的心理护理干预效果观察[J].护理实践与研究,2010,7(6):94-96.
[11]闫轩兰,范慧琴.结核病人的心理分析及护理[J].护理研究,2006,20(6):1625-1626.
[12]莫艳芬,张四凤,陈凤莲.肺结核患者的心理分析与护理对策[J].华北煤碳医学院学报,2005,7(2):216-218.
[13]陈小华,梁珏,李蜀,等.肺结核患者初治失败后的负性心理分析及干预[J].现代医院,2008,8(5):83-84.
[14]曹秀芳.综合护理干预在冠心病临床治疗中应用的效果评价[J].中国实用护理杂志,2011,27(32):19-20.
[15]张锐芝,周颐,周慧.综合护理干预在急性脑梗死临床治疗中的效果评价[J].实用医技杂志,2014,21(8):913-915.
[16]黄少玲,周琳,李妙琼,等.护理干预对耐多药肺结核患者生活质量的影响与评价[J].临床肺科杂志,2009,14(4):558-559.