特殊护理干预对结核性胸膜炎患者治疗依从性及生活质量的影响

Effect of special nursing intervention on treatment compliance and quality of life of patients with tuberculous pleurisy

目的：分析特殊护理干预对结核性胸膜炎患者的治疗依从性及生活质量的影响。方法选取西安市结核病胸部肿瘤医院2012年6月-2014年6月收治的160例患者作为研究对象，将其随机分为两组，观察组和对照组，每组各80例。对照组患者给予常规护理，而观察组患者则采用全程系统的特殊护理干预模式，从患者对治疗的依从性及生活质量两方面比较分析两组护理效果。结果从治疗依从性方面来看，观察组患者中完全依从60例（75.0%），部分依从16例（20.0%），不依从4例（5.0%）；对照组患者中完全依从32例（40.00%），部分依从36例（45.00%），不依从12例（15.00%），观察组患者明显优于对照组（P〈0.05）。护理前两组患者的生命质量评定量表（MOS-SF36）各维度的评分比较，差异均无统计学意义（P跃0.05）；护理6个月后，两组患者MOS-SF36各维度评分与护理前比较均有明显升高（P〈0.05），并且观察组的改善程度明显大于对照组，差异有统计学意义（P〈0.05）。结论特殊护理干预模式能有效提高患者对治疗的依从性，并能明显改善其生活质量，提高预后，可在临床上广泛应用。

Objective To analyze the effect and influence of special nursing intervention on treatment compliance and quality of life of tuberculous pleurisy patients. Methods 160 patients admitted to Xi＇an Tuberculosis and Thoracic Tu-mor Hospital from June 2012 to June 2014 were chosen as the research objects. They were randomly divided into two groups, named experimental group and control group, with 80 cases in each group. Patients in the experimental group were given special nursing intervention, and patients in the control group were given routine nursing. The nursing ef-fects of the two groups were compared and analyzed from two aspects of compliance of patients for treatment and quali-ty of life. Results From the aspects of treatment adherence, in observation group, there were 60 cases （75.0%） of full compliance, 16 cases （20.0%） of partial compliance, and 4 cases （5.0%） of non compliance;in control group, there were 32 cases （40.00%） of full compliance, 36 cases （45.00%） of partial compliance and 12 cases （15.00%） of non compli-ance, the treatment compliance in the experimental group was superior to the control group, there was a significant dif-ference between the two groups （P〈0.05）. Before nursing, there were no significant differences in composite scores of MOS-SF36 between the two groups （P〉0.05）;and after nursing for 6 months, composite scores of MOS-SF36 in both groups were increased compared with before nursing, there were significant differences （P〈0.05）, and the experimental group had a greater increase, the difference was significant （P〈0.05）. Conclusion Special nursing intervention can en-hance the treatment compliance, improve the quality of life and prognosis of patients with tuberculous pleurisy, it is worthy of clinical application.