摘要
目的探讨多维健康教育管理在耐多药结核病患者护理中的应用,分析多维健康教育管理对耐多药结核病患者的治疗护理效果的影响。方法选择自2016年1~12月我院结核科耐多药结核病区就诊的80例耐多药结核病患者,随机将其分为对照组和观察组,每组40例。对照组采用常规护理干预;观察组则在常规护理干预的基础上,加强全方位多维健康教育管理,包括医护健康教育、病患健康教育、病患心理护理、出院健康指导等。两组患者在入院时评测症状自评量表SCL-90评分,在出院时再次评测症状自评量表SCL-90,并采用问卷调查收集患者满意度;在6、12、24个月时观察两组患者的痰结核杆菌的阴转率;24个月疗程结束时观察较严重的不良反应发生情况。结果观察组的症状自评量表SCL-90、患者满意度均优于对照组,两组比较差异有统计学意义(P<0.05);观察组6、12、24个月不同时期痰结核杆菌阴转率分别为60.0%、72.5%和87.5%,而对照组则为40.0%、50.0%和62.5%,两组患者不同时期组间比较,6个月时无统计学意义(P>0.05),12、24个月时均有统计学意义(P<0.05);疗程期服药后,观测两组较严重不良反应发生情况,观察组和对照组分别为17.5%和25.0%,但两组对比无明显差异(P>0.05)。结论耐多药结核病患者治疗期间配合多维健康教育管理模式可以使治疗护理效果得到提升,有利于促进耐多药肺结核患者的身心健康,还可以改善结核病的病情,对耐多药患者顺利完成抗痨治疗也有极大帮助。
Objective To explore the application of multi-dimensional health education management in the nursing of patients with multidrug-resistant tuberculosis,and to analyze the effect of multi-dimensional health education management on the treatment and nursing effect of patients with multidrug-resistant tuberculosis.Methods Eighty patients with multidrug-resistant tuberculosis who were treated in the multidrug-resistant tuberculosis area of the tuberculosis department in our hospital from January to December 2016 were selected and randomly divided into control group and observation group,with 40 cases in each group.The control group was treated with routine nursing intervention.The observation group strengthened the comprehensive multi-dimensional health education management on the basis of routine nursing intervention,including health care education,patient health education,patient psychological care,and discharge health guidance.The two groups of patients were evaluated for symptom checklist-90(SCL-90)respectively at admission and at discharge.And patient satisfaction was collected by questionnaire.The negative conversion rate of Mycobacterium tuberculosis in the two groups of patients was observed at 6,12,and 24 months.The occurrence of serious adverse reactions at the end of the 24-month course of treatment was observed.Results The symptom checklist-90(SCL-90)and patient satisfaction in the observation group was superior to that of the control group.The difference between the two groups was statistically significant(P<0.05).The negative conversion rates of tuberculosis bacillus in the observation group were 60.0%,72.5%,and 87.5%at different stages of 6,12,and 24 months,while those in the control group were 40.0%,50.0%,and 62.5%.There was no statistically significant difference between the two groups at 6 months(P>0.05),while there was statistical significance at 12 and 24 months(P<0.05).After taking the drug,the incidence of serious adverse reactions was observed in the two groups.The incidence of serious adverse r
作者
周日花
胡雪
林立华
石燕
郎雅珍
ZHOU Rihua;HU Xue;IN Lihua;SHI Yan;LANG Yazhen(Department of Tuberculosis,Hangzhou Red Cross Hospital,Hangzhou 310003,China)
出处
《中国现代医生》
2019年第24期152-155,159,共5页
China Modern Doctor
基金
浙江省中医药科技计划(2017ZKL015)
关键词
多维
健康教育管理
耐多药结核病
护理
Multidimension
Health education management
Multidrug-resistant tuberculosis
Nursing
