护理专案改善活动对结核病患者服药依从性及自我护理能力的影响

Impact of nursing case improvement activities on medication adherence and self-care ability of patients with tuberculosis

目的探讨护理专案改善活动对结核病患者服药依从性及自我护理能力的改善效果。方法选择2021年1—11月广州医科大学附属第四医院诊治的结核病患者120例为研究对象,按照组间基本特征具有可比性的原则分为观察组与对照组,各60例。对照组应用常规护理方案,观察组开展护理专案改善活动。比较不同护理方案下患者服药依从性、自我管理能力得分、病耻感及生活质量差异。结果两组患者干预前服药依从性评分差异无统计学意义(P>0.05),干预后观察组依从性得分低于对照组,差异有统计学意义(P<0.05);两组干预前自我护理能力量表各维度得分差异无统计学意义(P>0.05),干预后观察组高于对照组,差异有统计学意义(P<0.05);两组患者干预前病耻感得分差异无统计学意义(P>0.05),干预后观察组病耻感得分低于对照组,差异有统计学意义(P<0.05);两组患者干预前生活质量得分差异无统计学意义(P>0.05),干预后观察组得分高于对照组,差异有统计学意义(P<0.05)。结论对结核病患者实施护理专案改善活动能够有效提高患者的服药依从性、自我管理能力及生活质量,降低病耻感。

Objective To investigate the effect of nursing case improvement activities on the adherence to medication and self-care ability of patients with tuberculosis.Methods 120 patients with tuberculosis treated in the Fourth Affiliated Hospital of Guangzhou Medical University,from January to November 2021 were selected for the study,they were divided into an observation group and a control group,with 60 cases in each group,according to the principle of comparability of basic characteristics between groups.In the control group,conventional nursing care was applied,in the observation group,nursing care improvement activities were carried out.The differences in medication adherence,self-management ability,stigma and quality of life were compared between the different care programmes.Results The difference in medication adherence scores between the two groups before the intervention was not statistically significant(P>0.05),after the intervention,the adherence scores of the observation group were lower than the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference between the pre-intervention scores of the two groups(P>0.05),and the post-intervention scores of the observation group were lower than the control group,with a statistically significant difference(P<0.05);there was no statistically significant difference between the pre-intervention scores of the two groups(P>0.05),and the post-intervention scores of the observation group were higher than the control group,with a statistically significant difference(P<0.05).Conclusion The implementation of nursing case improvement activities for patients with tuberculosis could effectively improve patients'medication adherence,self-management ability and quality of life,and reduce the sense of stigma.