延续护理干预对老年肺结核患者治疗依从性的影响

Effect of Continuous Nursing Intervention on Treatment Compliance of Elderly Patients with Pulmonary Tuberculosis

目的探讨延续护理干预对老年肺结核患者治疗依从性的影响。方法选择2017年10月~2018年10月我院收治的老年肺结核患者90例,以随机数表法将其分为两组,即对照组与研究组各45例。两组在院期间均进行规范用药治疗与常规护理,出院前接受出院指导。研究组在此基础上应用延续护理干预。对比两组出院6个月时对治疗行为的依从性、肺结核的复发率,以及出院时与出院6个月时生活质量的变化。结果 (1)研究组治疗的总依从率为97.78%,高于对照组82.22%(P<0.05)。(2)研究组复发率2.22%,低于对照组17.78%(P<0.05)。(3)出院6个月时研究组情绪功能、角色功能、社会功能、躯体功能评分均高于对照组(P<0.05)。结论延续护理对老年肺结核患者预后具有积极的影响,并可以有效提高治疗依从率,降低复发率,强化生活质量,适于临床推广与应用。

Objective To explore the effect of continuous nursing intervention on the treatment compliance of elderly patients with pulmonary tuberculosis.Methods Ninety-six elderly patients with pulmonary tuberculosis admitted to our hospital from October 2017 to October 2018 were randomly divided into two groups,namely,the control group and the study group.Both groups were treated with standardized medication and routine care during the hospital,and were discharged from hospital before discharge.The research team applied continuous nursing intervention on this basis.The compliance of the two groups with treatment behavior at 6 months after discharge,the recurrence rate of tuberculosis,and the quality of life at discharge and discharge at 6 months were compared.Results(1)The total compliance rate of the study group was 97.78%,which was higher than that of the control group(82.22%)(P<0.05).(2)The recurrence rate of the study group was 2.22%,which was lower than that of the control group(17.78%)(P<0.05).(3)The emotional function,role function,social function and physical function score of the study group were higher than the control group at 6 months after discharge(P<0.05).Conclusion Continuing care has a positive effect on the prognosis of elderly patients with pulmonary tuberculosis,and can effectively improve the treatment compliance rate,reduce the recurrence rate,strengthen the quality of life,and is suitable for clinical promotion and application.