延期护理对提高肺结核治愈率的作用关键要素探究

Research on the Key Elements of Deferred Nursing for Improving the Cure Rate of Pulmonary Tuberculosis

目的分析延期护理对于肺结核患者治愈率的提升作用。方法患者诊治时间介于2018年10月—2019年10月,共计肺结核患者86例。以随机法为准,A组计入例数44,予以延期护理;B组计入例数42,予以常规化出院指导。对比两组患者的临床治愈率、健康知识知晓度、健康行为、遵医行为及护理满意度。结果A组的肺结核治愈率总值(95.45%),B组总值(76.19%),差异有统计学意义(χ^(2)=6.642,P=0.010)。A组的健康知识总知晓度(97.73%),B组(78.57%),差异有统计学意义(χ^(2)=5.923,P=0.015)。护理后,A组的运动锻炼(22.86±2.65)分,高于B组(18.35±2.71)分,差异有统计学意义(t=7.802,P<0.05);健康责任感(33.95±4.78)分,高于B组(26.89±4.62)分,差异有统计学意义(t=6.959,P<0.05);个人目标(32.65±6.77)分,高于B组(27.15±6.50)分(t=3.840,P<0.05);人际关系(32.43±5.88)分高于B组(27.19±5.76)分,差异有统计学意义(t=4.172,P<0.05);营养(33.07±3.55)分,高于B组(26.19±3.42)分,差异有统计学意义(t=9.146,P<0.05);压力应对(27.59±4.75)分,高于B组(22.16±4.64)分,差异有统计学意义(t=5.359,P<0.05)。A组的遵医性记录(95.45%),B组记录(76.19%),差异有统计学意义(χ^(2)=6.642,P<0.05)。A组的护理满意度(93.18%),B组(71.43%),差异有统计学意义(χ^(2)=7.062,P=0.008)。结论为肺结核患者实行延期护理可以提高治愈率,且能改善其健康行为和遵医性,使其高效掌握相关知识,临床满意度较高。

Objective To analyze the effect of deferred care on the cure rate of pulmonary tuberculosis patients.Methods The diagnosis and treatment period of patients was from October 2018 to October 2019,and there were 86 cases of tuberculosis patients.Based on the random method,group A was counted as 44 cases and received deferred care;group B was counted as 42 cases and received routine discharge guidance.The clinical cure rate,health knowledge awareness,health behavior,medical behavior and care satisfaction of the two groups were compared.Results The total cure rate of tuberculosis in group A was 95.45%,and that in group B was 76.19%,the difference was statistically significant(χ^(2)=6.642,P=0.010).The total awareness data of health knowledge in group A was 97.73%,and the data in group B was 78.57%,the difference was statistically significant(χ^(2)=5.923,P=0.015).After nursing,the score of exercise(22.86±2.65)poins of group A was higher than that of group B(18.35±2.71)points,the difference was statistically significant(t=7.802,P<0.05);the score of health responsibility(33.95±4.78)points was higher than that of group B(26.89±4.62)points,the difference was statistically significant(t=6.959,P<0.05);personal goals(32.65±6.77)points were higher than group B(27.15±6.50)points(t=3.840,P<0.05);interpersonal relationships(32.43±5.88)points were higher group B(27.19±5.76)points,the difference was statistically significant(t=4.172,P<0.05);nutrition(33.07±3.55)points higher than group B(26.19±3.42)points,the difference was statistically significant(t=9.146,P<0.05);stress response(27.59±4.75)points were higher than group B(22.16±4.64)points,the difference was statistically significant(t=5.359,P<0.05).The compliance record in group A was 95.45%,and the record in group B was 76.19%,the difference was statistically significant(χ^(2)=6.642,P=0.010).The nursing satisfaction value of group A was 93.18%,and the value of group B was 71.43%,the difference was statistically significant(χ^(2)=7.062,P=0.008).Conclusion Implementing deferred care for pulmonary tuberculosis patients can increase the cure rate,improve their health behavior and compliance,enable them to master relevant knowledge efficiently,and have a higher clinical satisfaction.