摘要
目的探讨强化护理干预对提高老年肺结核合并糖尿病患者依从性的效果。方法采用随机抽样方法,将158例老年肺结核合并糖尿病患者分为实验组和对照组,各79例,实验组实施一系列强化护理干预措施,对照组则不予以强化护理干预,分别对2组患者进行依从性的评价。结果实验组服药依从性好77.2%,对照组依从性好48.1%,2组差异有统计学意义(χ2=14.31,p<0.01)。知晓度低(χ2=9.29,p<0.01)和缺乏用药监督(χ2=7.57,p<0.01)为影响服药依从性的主要因素。结论强化护理干预可提高老年肺结核合并糖尿病患者治疗的依从性。
Objective：To figure out the effect of intensive nursing intervention on elderly patients with pulmonary tuberculosis and diabetes complications. Methods：IS8 patients with pulmonary tuberculosis and diabetes complications were randomly divided into control group and intervention group,each group had 79 patients. The patients in intervention group were conducted by intensive nursing interventions,while the patients in control group were not. The treatment adherence was compared with the two groups. Results：The good adherence rate of intervention group was 77.2%,which was higher than that of the control group with 48.1% （p〈 0.05）. Being Lack of disease related knowledge and medication surveillance were the influencing factors of treatment adherence （p〈 0.05）. Conclnsion：Intensive nursing intervention could improve the treatment adherence of the elderly patients with pulmonary tuberculosis and diabetes complications.
关键词
老年人
肺结核
糖尿病
依从性
护理
Elderly people
Pulmonary tuberculosis
Diabetes
Adherence
Nursing
