“互联网+延续性护理”对肺结核患者用药依从性及自我护理能力的影响

Effect of“internet+continuing nursing”on drug compliance and self-care ability of pulmonary tuberculosis patients

目的 探讨“互联网+延续性护理”对肺结核患者出院后用药依从性及自我护理能力的影响。方法 选取2020年6月至2022年5月江苏省南通市第六人民医院收治的102例肺结核患者为研究对象,根据随机数字表法将其分为对照组和研究组,各51例。出院后,对照组实施常规随访,研究组实施“互联网+延续性护理”。比较两组出院时及出院后肺功能[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、FEV1/FVC],Morisky服药依从性量表-8个条目(MMAS-8)评分、自我护理能力测评量表(ESCA)评分,圣乔治呼吸问题调查问卷(SGRQ)评分。结果 出院后,两组FVC、FEV1、FEV1/FVC水平高于出院时,且研究组高于对照组,差异有统计学意义(P<0.05)。出院后,两组MMAS-8评分低于出院前,研究组高于对照组,差异有统计学意义(P<0.05)。出院后,两组ESCA评分高于出院时、SGRQ评分低于出院时;研究组ESCA评分高于对照组、SGRQ评分低于对照组,差异有统计学意义(P<0.05)。结论“互联网+延续性护理”可提升肺结核患者居家期间用药依从性和自我管理能力,值得推广。

Objective To explore the effect of“internet+continuing nursing”on drug compliance and self-care ability of pulmonary tuberculosis patients.Methods A total of 102 pulmonary tuberculosis patients admitted to the Sixth People’s Hospital of Nantong,Jiangsu Province from June 2020 to May 2022 were selected as the study objects.They were divided into control group and study group,with 51 cases in each group.After discharge,the control group implemented routine follow-up,and study group implemented“internet+continuous nursing”.The pulmonary function(forced vital capacity[FVC],forced expiratory volume in one second[FEV1],and FEV1/FVC),Morisky medication compliance scale-8 item(MMAS-8)score,exercise of self-care agency scale(ESCA)score and ne St George’s respiratory questionnaire(SGRQ)score were compared between two groups at discharge and after discharge.Results After discharge,the levels of FVC,FEV1,and FEV1/FVC in both groups were higher than those at discharge,and those of study group were higher than those of control group,and the differences were statistically significant(P<0.05).After discharge,the MMAS-8 scores in both groups were lower than those before discharge,while those of study group were higher than those of control group,and the differences were statistically significant(P<0.05).After discharge,the ESCA scores of both groups were higher than those at discharge,and the SGRQ scores were lower than those at discharge;ESCA score of study group was higher than that of control group,and SGRQ score was lower than that of control group,and the differences were statistically significant(P<0.05).Conclusion“Internet+continuing nursing”can improve the drug compliance and self-management ability of pulmonary tuberculosis patients at home,and is worth promoting.