针对性干预对耐多药肺结核患者的价值及运动耐力的影响

The application value of targeted nursing for patients with MDR-TB and its effects on exercise tolerance of patients

目的研究针对性护理在耐多药肺结核患者中的护理价值及对运动耐力的影响。方法治耐多药肺结核患者100例按照数字随机法分为常规护理组和针对性护理组,每组50例,常规护理组患者给予常规护理,针对性护理组患者在常规护理组的基础上使用针对性护理对患者进行护理干预,评价2组患者临床症状恢复时间、护理前后抑郁量表评分、生活质量评分、肺功能、运动耐力、护理依从性以及对护理的满意度。结果针对性护理组患者住院时间、症状恢复时间、体征恢复时间均低于常规护理组,差异有统计学意义(P<0.05);针对性护理组患者抑郁量表评分低于常规护理组,生活质量评分高于常规护理组,差异有统计学意义(P<0.05);针对性护理组患者肺功能、运动耐力高于常规护理组,差异有统计学意义(P<0.05);针对性护理组患者护理依从性高于常规护理组,差异有统计学意义(P<0.05);针对性护理组患者护理满意度高于常规护理组,差异有统计学意义(P<0.05)。结论针对性护理干预能够显著改善耐多药肺结核患者的不良心理状态,提高患者的运动耐力,应用价值较高,值得推广。

Objective To investigate the application value of targeted nursing for patients with MDR-TB and its effects on exercise tolerance of patients.Methods One hundred patients with MDR-TB who were treated in our hospital from February 2017 to February 2018 were enrolled in the study,who were were randomly divided into routine nursing group and targeted nursing group,with 50 cases in each group.The patients in routine nursing group were treated by routine nursing,however,the patients in targeted nursing group,on the basis of routine nursing,were treated by targeted nursing intervention.The clinical symptoms recovery time,and the depression scale score,life quality score,lung function,exercise endurance,nursing compliance and satisfaction degree of patients with nursing were observed and compared between the two groups.Results The hospitalization time,symptom recovery time and physical sign recovery time in targeted nursing group were significantly lower than those in routine nursing group(P<0.05),and the depression scale scores in targeted nursing group were significantly lower than those in routine nursing group,and the quality of life scores were significantly higher than those in routine nursing group(P<0.05).Moreover the pulmonary function.exercise endurance,nursing compliance and nursing satisfaction degree in targeted nursing group were significantly higher than those in routine nursing group(P<0.05).Conclusion The targeted nursing can improve the unhealthy mental status of patients with MDR-TB,and improve the exercise endurance,therefore,it is worthy of clinical promotion.