个性化护理干预对肺结核患者遵医行为及生活质量的影响

Effect of individualized nursing intervention on compliance behavior and quality of life in patients with pulmonary tuberculosis

目的探究个性化护理干预在肺结核患者中的应用效果。方法 83例肺结核患者,按照随机数字表法分为对照组(41例)及观察组(42例)。对照组给予常规护理,观察组于常规护理基础上实施个性化护理干预。比较两组遵医行为及生活质量评分(QOL)。结果干预前,两组遵医用药、规律饮食、定期检查及体育锻炼遵医行为评分比较,差异均无统计学意义(t=0.520、0.144、0.129、0.461, P>0.05);干预后,观察组遵医用药、规律饮食、定期检查及体育锻炼遵医行为评分均高于对照组,差异均具有统计学意义(t=9.817、7.883、9.109、5.802, P<0.05)。干预前,两组QOL评分比较,差异无统计学意义(t=1.016,P>0.05);干预后,观察组QOL评分高于对照组,差异具有统计学意义(t=15.991, P<0.05)。结论个性化护理干预可提高肺结核患者的遵医行为,并提高其生活质量,值得推广。

Objective To investigate the application effect of individualized nursing intervention in patients with pulmonary tuberculosis. Methods A total of 83 patients with pulmonary tuberculosis were divided into control group for 41 cases and observation group for 42 cases according to the random number table method. The control group was given conventional nursing, the observation group was given individualized nursing intervention on the basis of conventional nursing. The medical compliance and quality of life score（QOL） between the two groups were compared. Results Before intervention, there were no significant differences in the scores of compliance with medicines, regular diet, regular examination and physical exercise between the two groups（t=0.520, 0.144, 0.129, 0.461, P〉0.05）. After intervention, the scores of compliance with medicines, regular diet, regular examination and physical exercise in the observation group were significantly higher than those in the control group, the differences were statistically significant（t=9.817, 7.883, 9.109, 5.802, P〈0.05）. Before intervention, there was no significant difference in the QOL score between the two groups（t=1.016, P〉0.05）. After intervention, the QOL score of the observation group was significantly higher than that of the control group, the difference was statistically significant（t=15.991, P〈0.05）. Conclusion Individualized nursing intervention can improve the compliance behavior of patients with pulmonary tuberculosis and improve their quality of life, is worth popularizing.