探讨2型糖尿病合并耐药肺结核患者的临床护理措施和效果

Exploration on clinical nursing measure and effect of type 2 diabetes mellitus complicated with drug resistant pulmonary tuberculosis patients

目的探讨2型糖尿病合并耐药肺结核患者的临床护理措施和效果。方法 60例2型糖尿病合并耐药肺结核患者,随机分为对照组和观察组,各30例。对照组采用常规护理措施进行干预,观察组在常规护理基础上采用临床护理路径进行干预。比较两组患者对疾病知识的了解程度及治疗依从性。结果观察组干预前对疾病知识的了解程度评分为(15.0±1.5)分,干预后为(25.3±5.5)分;对照组干预前对疾病知识的了解程度评分为(15.3±1.0)分,干预后为(18.0±3.0)分;两组干预后疾病知识的了解程度评分高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组治疗依从性评分为(42.3±1.5)分,高于对照组的(28.5±2.1)分,差异有统计学意义(P<0.05)。结论采用临床护理路径措施对2型糖尿病合并耐药肺结核患者进行护理,效果显著,可有效提高患者对疾病的了解程度和治疗依从性,值得临床广泛应用与推广。

Objective To explore the clinical nursing measure and effect of type 2 diabetes mellitus complicated with drug resistant pulmonary tuberculosis patients. Methods A total of 60 type 2 diabetes mellitus complicated with drug resistant pulmonary tuberculosis patients were randomly divided into control group and observation group, with 30 cases in each group. The control group received conventional nursing measures for intervention and the observation group received clinical nursing pathway on the basis of conventional nursing for intervention. Comparison were made on disease knowledge comprehensive degree and treatment compliance in two groups. Results The observation group had disease knowledge comprehensive degree score before intervention as (15.0±1.5) points and after intervention as (25.3±5.5) points, while the control group had disease knowledge comprehensive degree score before intervention as (15.3±1.0) points and after intervention as (18.0±3.0) points.Both groups had higher disease knowledge comprehensive degree score after intervention than before intervention,and the the observation group had higher points than the control group. Their difference had statistical significance (P<0.05). The observation group had higher treatment compliance score as (42.3±1.5) points than (28.5±2.1) points in the control group, and the difference had statistical significance (P<0.05). Conclusion Clinical nursing pathway shows significant effect for the nursing of type 2 diabetes mellitus complicated with drug resistant pulmonary tuberculosis patients, which can effectively improve disease knowledge comprehensive degree and treatment compliance of patients. Therefore it is worth wide clinical application and promotion.