基于PAC心理弹性理论的护理在改善肺结核患者病耻感和服药依从性中的效果观察

Effect of Nursing Based on PAC Resilience Theory on Improving Stigma and Medication Compliance of Tuberculosis Patients

目的:分析基于PAC心理弹性理论的护理在改善肺结核患者病耻感和服药依从性中的效果。方法:2018年7月-2019年6月贵州航天医院收治肺结核患者102例,随机分为对照组与试验组,各51例。对照组采用常规护理;试验组在常规护理基础上实施基于PAC心理弹性理论的护理。比较两组患者病耻感、服药依从性和肺功能情况。结果:干预1个月和3个月时,试验组患者病耻感评分低于对照组,服药依从性和肺功能各项指标水平均高于对照组,差异有统计学意义(P<0.05)。结论:基于PAC心理弹性理论的护理应用于肺结核患者,能显著降低患者病耻感,提高服药依从性,并改善肺功能。

Objective: To analyze the effect of nursing based on PAC resilience theory on improving the stigma and medication compliance of tuberculosis patients.Methods: From July 2018 to June 2019,102 patients with pulmonary tuberculosis admitted to Guizhou Aerospace Hospital were randomly divided into control group and experimental group with 51 cases in each group.The control group received conventional nursing.The experimental group received nursing based on PAC resilience theory on the basis of conventional nursing. Stigma, medication compliance and lung function of patients were compared between the two groups.Results: After 1 and 3 months of intervention,the score of stigma in the experimental group was lower than that in the control group,the medication compliance and the levels of lung function indexes were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion: Nursing based on PAC resilience theory can significantly reduce patients’ stigma,improve medication compliance and improve lung function in patients with pulmonary tuberculosis.