护理干预对肺结核患者自我效能及自护能力的影响

Effect of Nursing Intervention on Self-efficacy and Self-care Ability of Pulmonary Tuberculosis Patients

目的 分析肺结核疾病特点,研究治疗期间辅助综合护理干预对患者自我效能、自护能力提升等方面的积极意义。方法 选择我院2019年5月至2020年10月收治的80例肺结核疾病患者,全部进行抗结核药物治疗。经伦理委员会批准、患者知情同意,进行分组对照护理,采取随机数表法。对照组、观察组肺结核患者分别采取常规护理、综合护理干预,比较肺结核患者的护理效果,包括自我效能、自护能力、用药依从性。结果 以自我护理能力实施量表(ESCA)评估肺结核患者的自护能力,护理干预后观察组患者评分(121.50±10.50)明显高于对照组,P <0.05;以一般效能感量表(GSES)评估肺结核患者的自我效能感,护理干预后观察组患者评分(33.30±2.80)明显高于对照组,P <0.05;以健康调查简表(SF-36)评估肺结核患者的生活质量,护理干预后观察组患者评分(93.30±4.50)明显高于对照组,P <0.05;组间患者用药依从性比较,观察组依从性95.00%高于对照组,P <0.05。结论 肺结核患者抗结核药物治疗期间配合综合护理干预,可以提升患者的自我效能、自护能力、用药遵医行为,进而促进患者预后。

Objective To analyze the characteristics of pulmonary tuberculosis disease,and to study the positive significance of auxiliary comprehensive nursing intervention during treatment on patients'self-efficacy and self-care ability.Methods We selected 80 patients with tuberculosis who were admitted to our hospital from May 2019 to October 2020,and all were treated with anti-tuberculosis drugs.After the approval of the ethics committee and the informed consent of the patients,group-controlled nursing was carried out,and a random number table method was adopted.Tuberculosis patients in the control group and observation group were treated with conventional nursing and comprehensive nursing interventions to compare the nursing effects of tuberculosis patients,including self-efficacy,self-care ability,and medication compliance.Results The exercise of self-care agency(ESCA)was used to evaluate the self-care ability of tuberculosis patients.After the nursing intervention,the score of the observation group(121.50±10.50)was significantly higher than that of the control group,P<0.05.The general self-efficacy scale(GSES)was used to evaluate the self-efficacy of tuberculosis patients.After the nursing intervention,the score of the observation group(33.30±2.80)was significantly higher than that of the control group,P<0.05.To assessing the quality of life of pulmonary tuberculosis patients by the MOS item short from health survey(SF-36),the observation group's score(93.30±4.50)after nursing intervention was significantly higher than that of the control group,P<0.05;comparison of medication compliance rates between groups,The compliance rate of observation group was 95.00%higher than that of control group,P<0.05.Conclusion Cooperating with comprehensive nursing intervention during the treatment of tuberculosis patients with anti-tuberculosis drugs can improve the patients'self-efficacy,self-care ability,medication compliance behavior,and promote the patient's prognosis.