全程系统化护理模式在肺结核中的应用效果

Application Effect of the Whole-Course Systemic Nursing Model in Tuberculosis Patients

目的探讨以肺康复训练为主的全程系统化护理模式对肺结核患者的应用效果。方法选取2019年1月至2020年2月濮阳市第五人民医院收治的120例肺结核患者,依循双色球分组法将120例肺结核患者分为研究组及对照组,每组60例。研究组治疗期间接受以肺康复训练为主的全程系统化护理模式,对照组治疗期间接受常规护理,比较两组护理效果。结果研究组的临床治疗有效率(98.3%)高于对照组(83.3%)(P<0.05)。研究组护理后的生活质量评分(躯体健康、情绪功能、心理健康、社会功能)高于对照组(P<0.05)。两组护理前的FVC、FEV 1、FEV 1/FVC比较,差异无统计学意义(P>0.05);两组护理后的FVC、FEV 1、FEV 1/FVC高于护理前,研究组护理后的FVC、FEV 1、FEV 1/FVC高于对照组(P<0.05)。研究组护理后的肺结核护理依从性(98.3%)高于对照组(75.0%)(P<0.05)。结论实施以肺康复训练为主的全程系统化护理模式,可提高肺结核的临床治疗效果,改善患者的呼吸功能,提高患者的生活质量,提升患者的护理依从性。

Objective To explore application effect of the whole-course systemic nursing model in tuberculosis patients.Methods From January 2019 to February 2020,120 patients with tuberculosis admitted to the Fifth People’s Hospital of Puyang were selected.According to the two-color ball grouping method,120 patients with tuberculosis were divided into study group and control group,with 60 cases in each group.The study group received whole-course systemic nursing model focusing on pulmonary rehabilitation training during the treatment,and the control group received routine nursing during the treatment.The nursing effects of the two groups were compared.Results The clinical treatment effective rate of the study group(98.3%)was higher than that of the control group(83.3%)(P<0.05).The quality of life scores(physical health,emotional function,mental health,social function)of the study group after nursing were higher than those of the control group(P<0.05).There was no difference in the FVC,FEV 1,FEV 1/FVC levels between the two groups before nursing(P>0.05).FVC,FEV 1,FEV 1/FVC after the two groups were better than those before the nursing,and the FVC,FEV 1,FEV 1/FVC after the study group was better than the control group(P<0.05).The tuberculosis nursing compliance after nursing in the study group(98.3%)was greater than that in the control group(75.0%)(P<0.05).Conclusion The implementation of whole-course systemic nursing model focusing on pulmonary rehabilitation training can achieve the clinical treatment effect of pulmonary tuberculosis,improve the patient’s respiratory function,improve the patient’s quality of life,and enhance the patient’s nursing compliance.