耐多药肺结核患者心理护理干预进展
|
摘要
耐药肺结核病程长、治疗显效慢、费用高、药物副作用、传染性以及环境和家庭因素,导致患者心理的多变性和复杂性。患者由于疾病治疗的生理不适、经济负担过重、不健康的心理状态、不良社会影响水平等既是心理健康水平的影响因素,也是对患者进行心理护理干预的重要考虑因素。其中干预方法包括:加强肺结核知识的宣传;遵守肺结核病的治疗原则;严格实施DOTS的督导治疗方案;根据患者的不良的心理状态予以情感支持、认知干预、放松疗法及行为疗法,以消除患者的不良情绪;充分发挥对患者治疗的有利因素,使患者能获得更多的支持,从而提高患者的生活质量。为了使肺结核治疗的转归向好的方向发展,降低结核病的传染,提高结核病的治愈率,现将耐药肺结核患者心理健康影响因素及护理干预进行综述。
Drug-resistant pulmonary tuberculosis has a long course of disease, slow curative effect, high cost, side effects of drugs, infectivity, environmental and family factors, which lead to psychological variability and complexity of patients. Patients' physiological discomfort, heavy economic burden, unhealthy psychological state and adverse social impact level due to disease treatment are not only the influencing factors of mental health level, but also the important consideration factors for psychological nursing intervention for patients. Intervention methods include: strengthening the propaganda of tuberculosis knowledge; Abide by the treatment principle of pulmonary tuberculosis; Strict implementation of DOTS supervision and treatment program; Emotional support, cognitive intervention, relaxation therapy and behavioral therapy should be given according to the patients' bad psychological state to eliminate the patients' bad emotions. Give full play to the favorable factors for the treatment of patients, so that patients can obtain more support, thus improving the quality of life of patients. In order to make the prognosis of tuberculosis treatment develop in a good direction, reduce the infection of tuberculosis and improve the cure rate of tuberculosis, the influencing factors of mental health of drug-resistant tuberculosis patients and nursing interventions are reviewed.
Drug-resistant pulmonary tuberculosis has a long course of disease, slow curative effect, high cost, side effects of drugs, infectivity, environmental and family factors, which lead to psychological variability and complexity of patients. Patients' physiological discomfort, heavy economic burden, unhealthy psychological state and adverse social impact level due to disease treatment are not only the influencing factors of mental health level, but also the important consideration factors for psychological nursing intervention for patients. Intervention methods include: strengthening the propaganda of tuberculosis knowledge; Abide by the treatment principle of pulmonary tuberculosis; Strict implementation of DOTS supervision and treatment program; Emotional support, cognitive intervention, relaxation therapy and behavioral therapy should be given according to the patients' bad psychological state to eliminate the patients' bad emotions. Give full play to the favorable factors for the treatment of patients, so that patients can obtain more support, thus improving the quality of life of patients. In order to make the prognosis of tuberculosis treatment develop in a good direction, reduce the infection of tuberculosis and improve the cure rate of tuberculosis, the influencing factors of mental health of drug-resistant tuberculosis patients and nursing interventions are reviewed.
引文
[1]World Health Organization. The global plan tostop TB 2011-2015:transforming the fight towards elimination of tuberculosis[M].Geneva:World Health Organization,2010:1-100.
[2]林定文,黄敏莹. 2002~2013年广西肺结核病疫情变化趋势分析[J].中华全科医学,2014,12(7):1113-1114,1117.
[3]韩玉辉.唐山市肺结核患者耐药情况分析[J].河北医药,2014,36(9):1406-1408.
[4]孔祥瑞,肖漓,石炳毅,等.肺结核和肺外结核患者外周血淋巴细胞亚群的表达及临床意义[J].临床误诊误治,2013,26(1):79-81.
[5]张丽湘,夏红.妇科恶性肿瘤患者的心理护理研究[J].中国妇幼健康研究,2006,17(4):282-283.
[6]马诗秀,王慧.重症肺结核患者的护理体会[J].当代护士(专科版),2012(3):115-116.
[7]吴艳芳,许雪春,陈丽娟.护理干预对慢性乙型肝炎患者心理状态的影响[J].实用临床医学,2011,12(1):103-105.
[8]崔晔.结核病患者的心理护理及康复指导[J].中国实用医药,2011,6(7):229-230.
[9]韩琴,张志莲. 37例耐多药肺结核病人的护理[J].全科护理,2013,1l(4):322-323.
[10]彭韫丽,席秀娟,秦艳秋.个性化心理护理干预对耐多药肺结核患者治疗及心理的影响[J].齐鲁护理杂志,2015,21(1):11-13.
[11]王莉端,潘琴,陈荣.护理干预对肺结核患者心理状态及生活质量的影响[J].广东医学,2014,35(11):1802-1804.
[12]赵清婷,李卫彬,侯琰,等.家属参与健康教育在新涂阳肺结核患者管理中的应用[J].中国保健营养(下旬刊),2013,23(7):4023.
[13]潘陈丽,徐九云.耐多药肺结核患者心理行为的质性研究[J].护理学杂志,2015,30(5):38-40.
[14]李东辉.耐多药结核病患者的心理分析及护理[J].中国保健营养(下旬刊),2013,23(11):6843.
[15]汤秋萍,刘卫华.耐多药肺结核患者生活质量影响因素及护理干预效果研究[J].中外医疗,2013,32(28):147-148.
[16]梁青莲,潘雪云.耐多药肺结核病人用药不良反应的观察与护理[J].全科护理,2014,12(28):2630-2631.
[17]彭莹.心理干预对耐多药结核病患者治疗效果的影响[J].临床肺科杂志,2013,18(10):1939-1940.
[18]李秀贵.探讨心理护理与产妇分娩方式的关系[J].中国继续医学教育,2014,6(6):102-103.
[19]余翠苹. 96例耐多药肺结核患者的心理护理干预[J].中国继续医学教育,2014,6(2):78-79.
[2]林定文,黄敏莹. 2002~2013年广西肺结核病疫情变化趋势分析[J].中华全科医学,2014,12(7):1113-1114,1117.
[3]韩玉辉.唐山市肺结核患者耐药情况分析[J].河北医药,2014,36(9):1406-1408.
[4]孔祥瑞,肖漓,石炳毅,等.肺结核和肺外结核患者外周血淋巴细胞亚群的表达及临床意义[J].临床误诊误治,2013,26(1):79-81.
[5]张丽湘,夏红.妇科恶性肿瘤患者的心理护理研究[J].中国妇幼健康研究,2006,17(4):282-283.
[6]马诗秀,王慧.重症肺结核患者的护理体会[J].当代护士(专科版),2012(3):115-116.
[7]吴艳芳,许雪春,陈丽娟.护理干预对慢性乙型肝炎患者心理状态的影响[J].实用临床医学,2011,12(1):103-105.
[8]崔晔.结核病患者的心理护理及康复指导[J].中国实用医药,2011,6(7):229-230.
[9]韩琴,张志莲. 37例耐多药肺结核病人的护理[J].全科护理,2013,1l(4):322-323.
[10]彭韫丽,席秀娟,秦艳秋.个性化心理护理干预对耐多药肺结核患者治疗及心理的影响[J].齐鲁护理杂志,2015,21(1):11-13.
[11]王莉端,潘琴,陈荣.护理干预对肺结核患者心理状态及生活质量的影响[J].广东医学,2014,35(11):1802-1804.
[12]赵清婷,李卫彬,侯琰,等.家属参与健康教育在新涂阳肺结核患者管理中的应用[J].中国保健营养(下旬刊),2013,23(7):4023.
[13]潘陈丽,徐九云.耐多药肺结核患者心理行为的质性研究[J].护理学杂志,2015,30(5):38-40.
[14]李东辉.耐多药结核病患者的心理分析及护理[J].中国保健营养(下旬刊),2013,23(11):6843.
[15]汤秋萍,刘卫华.耐多药肺结核患者生活质量影响因素及护理干预效果研究[J].中外医疗,2013,32(28):147-148.
[16]梁青莲,潘雪云.耐多药肺结核病人用药不良反应的观察与护理[J].全科护理,2014,12(28):2630-2631.
[17]彭莹.心理干预对耐多药结核病患者治疗效果的影响[J].临床肺科杂志,2013,18(10):1939-1940.
[18]李秀贵.探讨心理护理与产妇分娩方式的关系[J].中国继续医学教育,2014,6(6):102-103.
[19]余翠苹. 96例耐多药肺结核患者的心理护理干预[J].中国继续医学教育,2014,6(2):78-79.