摘要
目的探讨精细化护理干预及多学科协作对结核病患者外出检查口罩佩戴依从性和正确性的影响。方法调查某院结核科2015年10月—2016年12月的结核病患者。2015年10—12月为干预前组,不予干预,2016年1—12月为干预后组,采取精细化护理及多学科协作干预措施,比较干预前后结核病患者外出检查医用外科口罩佩戴情况及对结核病防控措施的认知情况。结果共收治住院结核病患者799例,干预前组160例,干预后组639例。干预前结核病患者外出检查口罩佩戴率为50.63%,正确率为86.42%;干预后组口罩佩戴率为95.31%,正确率为98.52%。干预前后不同季度结核病患者外出检查口罩佩戴率、正确率比较,差异均有统计学意义(χ~2值分别为222.94、38.512,均P=0.000)。干预后患者对结核病及防控措施的认知度均高于干预前,差异均具有统计学意义(均P<0.001)。结论精细化护理及多学科协作干预措施可提高结核病患者外出检查口罩佩戴率及正确率,且可提高患者对结核病及防控措施的认知度。
Objective To explore the effect of meticulous nursing intervention and multidisciplinary team（MDT） collaboration on the compliance and correctness of wearing masks of tuberculosis（TB） patients going out for checkup. MethodsTB patients in the tuberculosis department of a hospital from October 2015 to December 2016 were investigated. OctoberDecember 2015 was pre intervention group（without intervention）, JanuaryDecember 2016 was postintervention group, meticulous nursing intervention and MDT collaboration were adopted, wearing status of medical surgical masks and awareness of TB prevention and control measures in TB patients going out for checkup before and after intervention were compared. Results799 TB patients were admitted in hospital, 160 cases were in pre intervention group and 639 in postintervention group. Before intervention, mask wearing rate and correct mask wearing rate were 50.63% and 86.42% respectively; after intervention, mask wearing rate and correct mask wearing rate were 95.31% and 98.52% respectively. Wearing rate and correct wearing rate of masks of TB patients at different seasons before and after intervention were compared, difference were both statistically significant （χ2=222.94, 38.512,respectively, both P=0.000）. After intervention, patients’ awareness of tuberculosis and prevention and control measures were both higher than before intervention, difference were both statistically significant （both P〈0.001）. ConclusionMeticulous nursing intervention and MDT collaboration can improve the wearing rate and correct wearing rate of masks in TB patients going out for checkup.
作者
何燕
薛秒
王珊珊
刘祥敏
HE Yan;XUE Miao;WANG Shanshan;LIU Xiangmin(West China Hospital,Sichuan University,Chengdu 610041,China)
出处
《中国感染控制杂志》
CAS
北大核心
2018年第8期717-719,724,共4页
Chinese Journal of Infection Control
关键词
精细化护理
多学科协作
结核病
口罩佩戴率
干预
meticulous nursing
multidisciplinary collaboration
tuberculosis mask wearing rate intervention
