摘要
目的:探讨个体化护理干预对结核潜伏感染及活动性结核患者的应用价值。方法:选取2022年1—12月首都医科大学附属北京胸科医院结核潜伏感染或活动性结核患者86例,以随机法将所有患者分为干预组及常规组,各43例。常规组采用常规护理,干预组采用个体化护理干预。比较两组肺功能[第1秒用力呼气容积(FEV_(1))、FEV_(1)占用力肺活量百分比(FEV_(1)/FVC)]、自我管理水平、6 min步行距离(6MWD)、生活质量。结果:干预后,两组FEV_(1)、FEV_(1)/FVC水平均高于干预前,干预组高于常规组,差异有统计学意义(P<0.05);干预后,两组健康饮食、良好睡眠评分均高于干预前,且干预组高于常规组,差异有统计学意义(P<0.05);干预后,两组6MWD均长于干预前,且干预组长于常规组,差异有统计学意义(P<0.05);干预后,两组圣乔治呼吸疾病问卷评分均低于干预前,且干预组低于常规组,差异有统计学意义(P<0.05)。结论:个体化护理干预应用于结核潜伏感染及活动性结核患者,有助于改善其肺功能、生活质量,提高自我管理水平,延长6MWD。
Objective:To explore the application value of individualized nursing intervention in patients with latent tuberculosis infection and active tuberculosis.Methods:A total of eighty-six patients with latent tuberculosis infection or active tuberculosis were selected from Beijing Chest Hospital Affiliated to Capital Medical University from January 2022 to December 2022.All patients were randomly divided into intervention group and routine group,with forty-three cases in each group.Routine nursing was used in the routine group,and individualized nursing intervention was used in the intervention group.The pulmonary function[forced expiratory volume in the first second(FEV_(1)),percentage of FEV_(1) to forced vital capacity(FEV_(1)/FVC)],self-management level,6-min walking distance(6MWD)and quality of life were compared between the two groups.Results:After intervention,the levels of FEV_(1) and FEV_(1)/FVC in both groups were higher than before intervention,and the levels in the intervention group were higher than those in the routine group,with statistical significance(P<0.05);After intervention,the scores of healthy diet and good sleep in 2 groups were higher than before intervention,and the intervention group was higher than the routine group,the difference was statistically significant(P<0.05);After intervention,6MWD in both groups was longer than before intervention,and the intervention group was longer than the routine group,the difference was statistically significant(P<0.05);After intervention,the scores of St.George's respiratory disease questionnaire in both groups were lower than before intervention,and the intervention group was lower than the routine group,the difference was statistically significant(P<0.05).Conclusion:The application of individualized nursing intervention in patients with latent tuberculosis infection and active tuberculosis is helpful to improve lung function,quality of life,improve self-management level and prolong 6MWD.
作者
王微
Wang Wei(Department of Fever Clinic,Beijing Chest Hospital Affiliated to Capital Medical University,Beijing 101149,China)
出处
《中外医药研究》
2024年第1期105-107,共3页
JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH
关键词
活动性结核
潜伏感染
个体化护理
肺功能
Active tuberculosis
Latent infection
Individualized nursing
Lung function
