摘要
目的探讨整体护理干预在耐多药结核病(MDR TB)患者中的应用效果。方法选取该院2018年10月—2019年10月收治并确诊为耐多药结核病患者100例,按住院尾号的单、双分为观察组(n=50)和对照组(n=50),对照组给予常规护理;观察组在对照组基础上实施整体护理护理,比较两组患者治疗后的生存质量得分、服药依从性、临床治疗效果及对护理工作满意情况。结果治疗后6个月,观察组的生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康、总体健康分别为(70.8±6.6)分、(66.1±6.1)分、(68.9±5.7)分、(62.3±6.2)分、(64.3±6.7)分、(68.1±6.2)分、(70.6±6.3)分、(67.9±6.7)分,均明显高于对照组(61.3±6.8)分、(60.2±6.7)分、(62.3±6.8)分、(56.2±6.5)分、(57.3±6.3)分、(58.1±6.6)、(59.6±6.7)分、(62.7±6.6)分,比较差异有统计学意义(P<0.05);观察组的服药依从性率、痰菌转阴效率、满意率分别为96%、66%、98%,明显高于对照组(82%、32%、80%),比较差异有统计学意义(χ^2=5.005、11.565、8.274,P<0.05)。结论整体护理干预能有效提高耐多药结核病患者的生存质量,提高其服药依从性,进而提高治疗效果,提高患者的痰菌阴转率,提高对医疗护理工作满意度。
Objective To investigate the effect of holistic nursing intervention on patients with multidrug-resistant tuberculosis(MDR TB).Methods A total of 100 patients admitted to the hospital from October 2018 to October 2019 and diagnosed with MDR-TB were selected.They were divided into observation group(n=50)and control group(n=50)according to the single and double numbers of hospitalization.The control group was given routine nursing care;the observation group was given overall nursing care on the basis of the control group,and the quality of life scores,medication compliance,clinical treatment effects,and satisfaction with nursing work were compared between the two groups of patients.Results 6 months after treatment,the physiological function,physiological function,physical pain,vitality,social function,emotional function,mental health,and overall health of the observation group were(70.8±6.6),(66.1±6.1)points,(68.9±5.7)points,(62.3±6.2)points,(64.3±6.7)points,(68.1±6.2)points,(70.6±6.3)points,(67.9±6.7)points,which were significantly higher than the control group(61.3±6.8)points,(60.2±6.7)points,(62.3±6.8)points,(56.2±6.5)points,(57.3±6.3)points,(58.1±6.6)points,(59.6±6.7)points,(62.7±6.6)points,the difference was statistically significant(P<0.05);the medication compliance rate,sputum negative rate,and satisfaction rate of the observation group were 96%,66%,and 98%,which were significantly higher than those of the control group(82%,32%,and 80%),and the differences were statistically significant(χ^2=5.005,11.565,8.274,P<0.05).Conclusion Holistic nursing intervention can effectively improve the quality of life of patients with multidrug-resistant tuberculosis,improve their medication compliance,and then improve the treatment effect,increase the sputum negative conversion rate of patients,and increase their satisfaction with medical care.
作者
曾家茵
ZENG Jia-yin(Tuberculosis area,The Fourth People's Hospital of Beihai,Beihui,Guangxi,536000 China)
出处
《系统医学》
2020年第8期148-150,共3页
Systems Medicine
关键词
耐多药结核病
整体护理干预
生存质量
服药依从性
治疗效果
MDR-TB
Holistic nursing intervention
Quality of life
Compliance with medication
Treatment effect
