护理督导在耐多药结核病患者护理中的应用效果分析

Nursing supervision in nursing care for patients with multi-drug resistant tuberculosis

目的探讨护理督导在耐多药结核病患者护理中的应用效果。方法将184例耐多药结核病患者随机分为观察组和对照组，各92例。对照组给予常规护理，观察组在常规护理基础上给予护理督导。用健康调查简表（SF-36）对两组患者干预前、后的生活质量进行评价。并对两组治疗依从性和临床疗效进行统计。结果干预后，观察组SF-36各因子评分显著高于干预前，且明显高于同期对照组评分（P〈0．05）。观察组依从性好患者比例为89．1％，明显高于对照组的58．7％（P〈0．05）。观察组痊愈率为54．3％，明显高于对照组的28．3％（P〈0．05）。结论护理督导可有效提升患者治疗依从性和生活质量，利于治疗效果的提高。

Objective To investigate application effect of nursing supervision in the nursing care for patients with multi-drug resistant tuberculosis. Methods 184 patients with multi-drug resistant tuberculosis were randomly divided into an observation group and a control group, 92 cases for each group. The control group were routinely nursed; in addition, the observation group received nursing supervision. Before and aiter the intervention, the life qualities of the two groups were evaluated by health survey （SF-36）. The treatment compliance and clinical efficacy of these two groups were statistically analyzed. Results After the intervention, the scores of each factor in SF-36 were significantly higher than those before the intervention in the observation group and were significantly higher in the observation group than in the control group （P〈0.05）. The good compliance rate of the observation group was 89.1%, which was significantly higher than the control group＇s 58.7% （P〈0.05）. The cured rate of the observation group was 54.3%, which was significantly higher than the control group＇s 28.3% （P〈0.05）. Conclusions Nursing supervision can effectively enhance treatment compliance and improve life quality and is helpful for improving therapeutic effect.