摘要
目的探究采用完全管理模式对耐多药肺结核患者进行护理干预的运用效果及意义。方法随机抽取96例耐多药肺结核患者纳入试验研究范围,均于2018年4月至2020年4月入我院接受诊治,采用计算机等量随机方式进行分组,分别为采用完全护理管理模式方式(试验组,n=48)及常规护理模式方式(对照组,n=48)进行护理,分析护理效果。结果干预前,两组患者生活质量评分无差异(P>0.05)。干预后,试验组患者评分显著高于对照组患者(P<0.05);干预后,试验组患者服药依从性包括擅自更改药物用量、无漏服药物及规律服用药物占比显著高于对照组(P<0.05);试验组患者对临床护理满意度明显高于对照组患者(P<0.05);试验组患者的健康知识熟练掌握率及细菌学转阴率均显著优于对照组(P<0.05)。结论对耐多药肺结核患者应用完全管理模式干预,有利于提升患者的服药依从性,优化病灶吸收效果,提升细菌学转阴率。
Objective To explore the effect and significance of complete management mode on nursing intervention of MDR-TB.Methods A total of 96 patients with MDR-TB were randomly selected and included in the experimental study.They were admitted to our hospital from April 2018 to April 2020 for diagnosis and treatment.They were randomly divided into groups,complete nursing management mode(experimental group,n=48)and routine nursing mode(control group,n=48)were used for nursing.Analyze the effect of nursing.Results Before intervention,the quality of life scores of the two groups were similar,with no statistical significance(P>0.05).After the intervention,the scores of patients in the experimental group were significantly higher than those in the control group(P<0.05).After the intervention,the medication compliance of patients in the experimental group,including changing the dosage of drugs without authorization,no missing drugs and taking drugs regularly,was significantly higher than that in the control group(P<0.05).The satisfaction of patients in the experimental group with clinical nursing was significantly higher than that in the control group(P<0.05).The mastery rate of health knowledge and the negative rate of bacteriology in the experimental group were significantly better than those in the control group(P<0.05).Conclusion The application of complete management model intervention in MDR-TB is beneficial to improve the compliance of patients,optimize the absorption effect of focus,improve the conversion rate of bacteriology.
作者
吴月凤
WU Yuefeng(Department of Internal Medicine,Tuberculosis Hospital of Anshan City,Anshan 114000,China)
出处
《中国医药指南》
2022年第20期187-188,F0003,共3页
Guide of China Medicine
关键词
肺结核
耐药性
完全管理模式
依从性
细菌学转阴率
Tuberculosis
Drug resistance
Complete management model
Compliance
Bacteriological negative rate