摘要
目的:评价多元化宣教护理对耐多药肺结核(MDR-PTB)患者的应用效果。方法:选择2019年3月至2022年3月上海市肺科医院结核科收治的115例MDR-PTB患者作为研究对象,按照随机数字表法分为观察组(58例)和对照组(57例)。对照组采用常规护理方式进行干预,观察组在常规护理的基础上进行多元化宣教护理干预;两组研究对象均在入院后开始干预,时间为1个月。采用汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)评估研究对象的抑郁和焦虑情绪;根据研究对象的表现和遵医行为评估其治疗依从性;采用自制满意度调查问卷评估研究对象的护理满意度;采用生活质量评价量表(SF-36)评估研究对象的生活质量;采用自我护理能力测定量表(ESCA)评估研究对象的自我护理能力。结果:干预后,观察组的HAMD和HAMA评分分别为(18.13±1.48)分和(22.46±3.12)分,明显低于对照组的(21.63±1.33)分和(27.07±3.08)分,差异均有统计学意义(t值分别为13.331和7.973,P值均<0.001)。观察组治疗依从率为94.8%(55/58),护理满意度为96.6%(56/58),均明显高于对照组[治疗依从率为77.2%(44/57),护理满意度为82.5%(47/57)],差异均有统计学意义(χ^(2)值分别为7.464和6.112,P值分别为0.006和0.013)。干预后,观察组的生活质量、自我概念、自我责任感、护理技能、健康知识评分分别为(81.45±8.60)分、(26.69±3.74)分、(20.25±3.21)分、(38.87±5.22)分、(52.47±7.30)分,均明显高于对照组[分别为(70.52±7.92)分、(20.47±3.86)分、(17.41±3.10)分、(31.96±5.24)分、(46.22±6.84)分],差异均有统计学意义(t值分别为4.086、8.776、4.825、7.084、4.736,P值<0.001)。结论:多元化宣教护理能够提高MDR-PTB患者的治疗依从性和生活质量,提升患者的护理满意度,增强其自我护理能力。
Objective:To evaluate the application effect of diversified missionary nursing on multidrug-resistant pulmonary tuberculosis(MDR-PTB)patients.Methods:A total of 115 MDR-PTB patients admitted to the Tuberculosis Department of Shanghai Pulmonary Hospital from March 2019 to March 2022 were selected as the study subjects.They were divided into an observation group(58 cases)and a control group(57 cases)using a random number table method.The control group received routine nursing intervention,while the observation group received diversified missionary nursing except for routine nursing.Intervention for the patients in two began after admission and last for one month.The depression and anxiety emotions of the study subjects were evaluated using the Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA);the treatment compliance was evaluated based on their performance and compliance with medical practices;the nursing satisfaction was evaluated using a self-made satisfaction survey questionnaire;the quality of life was evaluated using the Quality of Life Assessment Scale(SF-36);and the self-care ability was evaluated by using the Self Care Ability Assessment Scale(ESCA).Results:After intervention,the HAMD and HAMA scores of the observation group were 18.13±1.48 and 22.46±3.12,respectively,significantly lower than those of the control group(21.63±1.33 and 27.07±3.08)(t values were 13.331 and 7.973,both P<0.001).The treatment compliance rate and nursing satisfaction rate of the observation group were 94.8%(55/58)and 96.6%(56/58),which were significantly higher than those of the control group(77.2%(44/57)and 82.5%(47/57),respectively),and the differences were statistically significant(χ^(2) values were 7.464 and 6.112,P values were 0.006 and 0.013).After intervention,the quality of life,self-concept,sense of responsibility,nursing skills,and health knowledge scores of the observation group were 81.45±8.60,26.69±3.74,20.25±3.21,38.87±5.22,and 52.47±7.30,respectively,which were significantly higher than those of the control group(70.52±7.92,20.47±3.86,17.41±3.10,31.96±5.24,and 46.22±6.84,respectively),the differences were statistically significant(t values were 4.086,8.776,4.825,7.084,4.736,all P values<0.001).Conclusion:Diversified missionary nursing can improve the treatment compliance and life quality of MDR-PTB patients,enhance the nursing satisfaction and the self-care ability.
作者
徐玉菁
李郁如
汤玲玲
Xu Yujing;Li Yuru;Tang Lingling(The Fifth Tuberculosis District,Shanghai Pulmonary Hospital,Shanghai 200433,China)
出处
《结核与肺部疾病杂志》
2023年第6期449-453,共5页
Journal of Tuberculosis and Lung Disease
关键词
结核
肺
抗药性
多药
临床护理研究
护理评价研究
Tuberculosis,pulmonary
Drug resistance,multiple
Clinical nursing research
Nursing evaluation research
