综合护理在肺结核并多重耐药菌患者中的应用研究

Application of Comprehensive Nursing in Patients with Pulmonary Tuberculosis and Multi Drug Resistant Bacteria

目的探讨综合护理在肺结核并多重耐药菌患者中的应用效果。方法研究对象90例肺结核并多重耐药菌患者均为随机选取2018年6月—2020年5月该院收治的患者,以随机数表法划分组别。对照组45例肺结核并多重耐药菌患者行常规护理措施,在此基础上研究组45例肺结核并多重耐药菌患者行综合护理措施。实施6个月后,对比两组治疗的依从性、痰液转阴率、病灶吸收率。同时,通过自拟的护理满意度调查表,对于两组护理满意度给予评价。结果研究组治疗的总依从率95.56%高于对照组80.00%,差异有统计学意义(χ^(2)=5.075,P<0.05)。研究组痰液转阴率91.11%与病灶总吸收率93.33%均高于对照组71.11%、73.33%,差异有统计学意义(χ^(2)=5.874、6.480,P<0.05)。护理总满意率比较中,研究组100.00%较对照组86.67%更高,差异有统计学意义(χ^(2)=4.464,P<0.05)。结论综合护理在肺结核并多重耐药菌患者中应用具有显著的效果,可以有效提高治疗依从性,促使痰液转阴与病灶吸收,且增强了患者对于护理服务的满意度,适于临床应用。

Objective To explore the application effect of comprehensive nursing in patients with pulmonary tuberculosis and multidrug-resistant bacteria.Methods From June 2018 to May 2020,90 patients with pulmonary tuberculosis and multidrug-resistant bacteria were conveniently selected and randomly divided into two groups.45 cases in the control group were given routine nursing measures,and 45 cases in the research line were given comprehensive nursing measures on this basis.The patients were followed up for 6 months,and the treatment compliance,sputum negative conversion rate and lesion absorption rate were compared between the two groups.At the same time,self-designed nursing satisfaction questionnaire was used to compare the satisfaction of two groups of patients for this nursing service.Results The total compliance rate of the study group 95.56%was higher than that of the control group 80.00%,the difference was statistically significant(χ^(2)=5.075,P<0.05).The sputum negative conversion rate of 91.11%and the total absorption rate of 93.33%in the study group were higher than those in the control group 71.11%and 73.33%,respectively,and the differences were statistically significant(χ^(2)=5.874,6.480;P<0.05).The total nursing satisfaction rate of the study group was 100.00%,which was higher than that of the control group 86.67%,the difference was statistically significant(χ^(2)=4.464,P<0.05).Conclusion Comprehensive nursing in patients with pulmonary tuberculosis and multidrug-resistant bacteria has significant application effect,can effectively improve the total treatment compliance,promote sputum negative and focus absorption,and enhance patients'satisfaction with nursing service,which is suitable for clinical application.