优质护理对耐多药肺结核患者依从性及疗效影响的分析

Influence of high quality nursing care on compliance and curative effect in multi-drug resistant tuberculosis patients

目的探讨优质护理对耐多药肺结核患者依从性及疗效的影响。方法选取本院结核病门诊2012年1月至2014年6月确诊的78例耐多药肺结核患者按年份分为两组，即常规护理组与优质护理组，每组患者均为39例。常规护理组采用常规护理措施，优质护理组在常规护理基础上应用心理护理、患者家属健康知识宣教及加强对患者的追踪督导，观察两组患者服药依从性及疗效。结果优质护理组的患者服药依从性为87．18％，明显高于常规护理组的51．28％，两者比较差异有统计学意义（χ2=11．796，P=0．001）。优质护理组患者治愈率82．05％，明显高于常规护理组的48．72％，两者比较差异有统计学意义（χ2=9．573，P=O．002）。结论对耐多药肺结核患者应用优质护理措施可以提高患者服药依从性和治愈率。

Objective To observe the influence of high quality nursing care on compliance and curative effect in multi-drug resistant tuberculosis patients. Methods 78 patients confirmed with multi-drug resistant tuberculosis at the TB clinic of our hospital from January, 2012 to June, 2014 were divided into a routine nursing care group（39 cases） and a high quality nursing care group（39 cases）. The routine nursing care group were treated with routine nursing care; and in addition, the high quality nursing care group were treated with psychological care, family member health knowledge education, and tracking supervision. The medication compliance and curative effect of these two groups were observed. Results The medication compliance of the high quality nursing group was 87.18%, which significantly higher than that of the routine nursing group （51.28%）, with a statistical difference （χ2= 11.796, P=0.001）. The cured rate was significantly higher in the high quality nursing group than the routine nursing group （82.05% vs. 48.72%）, with a statistical difference （χ2= 9.573, P=0.002）. Conclusions High quality nursing care for multi-drug resistant tuberculosis patients can improve the patients＇ medication compliance and the cured rate.