延续性护理对中青年肺结核患者出院后用药依从性及生活质量的影响

EFFECTS OF CONTINUOUS CARE ON THE COMPLIANCE AND THE QUALITY OF LIFE OF DISCHARGED YOUNG AND ADULT PATIENTS WITH PULMONARY TUBERCULOSIS

目的探讨院外延续性护理行为对中青年肺结核患者出院后用药依从性及生活质量的影响。方法选取在临沂市中心医院治疗的137例中青年肺结核患者为研究对象,随机分为对照组与实验组,对照组出院后行常规出院指导,实验组在此基础上进行延续性院外护理,治疗6个月后对两组患者依从性以及生活质量进行比较。结果实验组用药依从性为82.9%,对照组为61.2%,两组比较差异有统计学意义(P<0.05);实验组心理情绪负性得分明显低于对照组(P<0.05);生活质量得分实验组明显高于对照组(P<0.05)。结论延续性护理可以树立中青年肺结核患者较好的用药依从性,缓解心理焦虑及抑郁,提升其生活质量。

Objective To explore the effects of continuous care on compliance and the quality of life of discharged young and adult patients with pulmonary tuberculosis.Methods 137 young and adult patients with pulmonary tuberculosis were selected as the research objects and were randomly divided into the control group and the experimental group.The control group received routine discharge guidance,while the experimental group underwent continuous care in addition to routine discharge guidance.The compliance and the quality of life of the two groups were compared after six months.Results The compliance rates of the experimental group and the control group were82.9% and 61.2% respectively（P〈0.05）.Negative scores of psychological emotion in the experimental group were significantly lower than those in the control group（P〈0.05）.The quality of life of the experimental group was significantly better than that of the control group（P〈0.05）.Conclusion Continuous care can establish good compliance in young and adult patients with pulmonary tuberculosis,can relieve psychological anxiety and depression and can improve their quality of life.