持续性护理干预在肺结核患者院外护理中的应用

Application of Continuous Nursing Intervention in Outpatient Care of Pulmonary Tuberculosis Patients

目的探讨持续性护理干预在肺结核患者院外护理中的应用效果。方法选择永安市三明第二医院2021年1月—2023年1月收治的肺结核患者110例作为研究对象。采用随机数组法将其分为对照组和观察组各55例。对照组接受常规护理干预措;观察组在其基础上增加持续性护理干预。比较两组患者治疗依从性和临床治疗效果的改善情况。结果随访8个月后,观察组患者的治疗依从性优于对照组,差异有统计学意义(P<0.05);观察组病因、并发症、用药常识、临床症状及预防知识等知晓情况优于对照组,差异有统计学意义(P<0.05);观察组躯体功能、心理功能、社会功能、物质生活功能等生活质量评分优于对照组,差异有统计学意义(P<0.05);观察组临床治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论肺结核患者出院后,应用持续性护理干预可以提高患者的治疗依从性、疾病知晓情况和生活质量,并强化治疗效果。

Objective To explore the application effect of continuous nursing intervention in outpatient care of pulmonary tuberculosis patients.Methods One hundred and ten pulmonary tuberculosis patients admitted to Sanming Second Hospital in Yong’an City from January 2021 to January 2023 were selected as the research subjects.The control group received routine nursing interventions.The observation group added continuous nursing interventions based on routine nursing interventions.The improvement of treatment compliance and clinical treatment effectiveness between two groups of patients were compared.Results After 8 months of follow-up,the treatment compliance of the observation group patients was better than that of the control group,with a statistically significant difference(P<0.05).The awareness of etiology,complications,medication knowledge,clinical symptoms,and prevention knowledge in the observation group were better than those in the control group,with statistically significant differences(P<0.05).The scores of physical function,psychological function,social function,and material life function and the total scores of the observation group were better than those of the control group,and the difference was statistically significant(P<0.05).The total effective rate of clinical treatment in the observation group was higher than that in the control group,with a statistically significant difference(P<0.05).Conclusion Continuous nursing interventions for pulmonary tuberculosis patients after discharge can improve their treatment compliance,disease awareness,and quality of life,and enhance treatment effectiveness.