家庭参与的延续性护理对结核性胸膜炎患者的遵医行为及负面情绪的影响

Effects of Family Involvement in Continuous Care on Compliance Behavior and Negative Emotions in Patients with Tuberculous Pleurisy

目的 探究家庭参与的延续性护理对结核性胸膜炎患者的遵医行为及负面情绪的影响。方法 选取2017年12月-2022年12月合计5年内我院收治的96例结核性胸膜炎患者进行研究。将上述患者以双盲法分组,观察组和对照组各48例。对照组:除基本的院内护理外实施院外的延续性护理。观察组:家庭参与的延续性护理。观察患者遵医行为、负面情绪及生命质量变化。结果 与对照组83.33%的遵医依从率相比,观察组(95.83%)显著增加,P<0.05。与对照组干预前的焦虑、抑郁评分相比,观察组无显著变化,P>0.05,与干预后相比,各组焦虑、抑郁评分均下降,且与对照组干预后的评分相比,观察组显著降低(P<0.05)。与对照组干预前的生命质量评分相比,观察组无显著变化,P>0.05,与干预后相比,各组生命质量评分均增加,且与对照组干预后的评分相比,观察组显著增加(P<0.05)。结论 家庭参与的延续性护理能够提高结核性胸膜炎患者的遵医行为及生命质量,改善患者负面情绪。

Objective To investigate the impact of continuous care with family engagement on patients with tuberculous pleurisy's compliance behavior and negative feelings.Methods A total of 96 patients with tuberculous pleurisy admitted to our hospital between December 2017 and December 2022 were chosen for the study.By using a double-blind procedure,the patients were divided into two groups:48 cases in the observation group and 48 cases in the control group.Control group:In addition to basic in-hospital treatment,out-of-hospital care continuity was implemented.Observation group:Care continuity with family participation.Compliance behavior,negative feeling,and quality of life all changed.Results The compliance rate in the observation group(95.83%)was considerably higher(P<0.05)than in the control group(83.33%).The anxiety and depression scores of the observation group had no significant change(P>0.05)when compared to the control group before intervention,and when compared to the intervention,the anxiety and depression scores of each group were decreased,and when compared to the control group after intervention,the observation group was significantly decreased(P<0.05).The observation group's life quality score was not significantly different from the control group before intervention(P>0.05),but when compared to the intervention,the life quality score of each group was increased,and when compared to the control group after intervention,the observation group's life quality score was significantly higher(P<0.05).Conclusion Family involvement in continuous care can improve the compliance behavior and quality of life of patients with tuberculous pleurisy,improve patients'negative emotions.