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中西医结合临床护理路径在肺结核患者中的应用(1)
http://www.100md.com 2011年11月25日 熊伟芬 张尊敬
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     [摘要] 目的 探讨中西医结合临床护理路径应用于肺结核患者的效果。方法 将90例肺结核患者随机分为对照组和研究组,对照组实施常规护理,研究组实施中西医结合临床路径护理,半个月后比较相关知识掌握情况、满意度和生活质量。结果 研究组对疾病相关知识的掌握情况优于对照组,两组比较差异有统计学意义(P<0.05);研究组满意度也明显优于对照组,分别为97.78%和82.22%,差异有统计学意义(P<0.05);生活质量评分表调查显示,两组比较有统计学意义。结论 采用中西医结合临床护理路径有助于患者对疾病相关知识的掌握,提高患者生活质量和患者满意度。

    [关键词] 肺结核;临床路径;护理方法

    [中图分类号] R473.5 [文献标识码] B [文章编号] 1673-9701(2011)33-97-03

    The Application of Chinese and Western Medicine Combined with Clinical Pathway to Pulmonary Tuberculosis

    XIONG Weifen ZHANG Zunjing

    Traditional Chinese Medicine Hospital of Lishui, Lishui 323000, China

    [Abstract] Objective To investigate the effect of Chinese and Western medicine combined with clinical pathway for pulmonary tuberculosis. Methods All 90 cases of diabetes were randomly divided into study group (45 cases) and control group (45 cases). Control group was recruited and assigned to routine nursing condition and patients in study group were recruited and assigned to Chinese and Western medicine combined with clinical pathway. The disease-related knowledge, satisfaction and quality of life of the patients in two groups were compared after a half of month. Results The study group was better than the control group in disease-related knowledge, and the difference was statistically significant (P<0.05); The satisfaction of the study group was better than that in control group (97.78%, 82.22%), and there was statistically significant difference (P<0.05); The quality of life in study group was obviously higher than that in the control group. Conclusion The Chinese and Western medicine combined with clinical pathway has great help to pulmonary tuberculosis in understanding of disease-related knowledge, improving patient quality of life and patient satisfaction.

    [Key words] Pulmonary tuberculosis; Clinical pathway; Nursing methods

    肺结核病,祖国医学称之为肺痨,是一种以呼吸道为主要传播途径的传染性疾病,排菌者是主要的传染源。近年来,世界各国结核发病率呈回升趋势,我国结核病患者数量仅次于印度,位居全球第二;我国耐药结核病问题严重,耐药结核病患者位居世界第一[1]。耐药结核病是重大公共卫生问题,也是社会问题[2]。有研究显示,耐药结核病的产生主要与患者对疾病认识不清、不规则用药有关,或者患者对医护人员满意度不够从而依从性差,也可导致患者耐药的产生。因此,2009年7月~2010年6月针对我科肺结核患者应用中西医结合临床护理路径指导护理工作,取得了良好效果,现报道如下。

    1 资料与方法

    1.1 一般资料

    2009年7月~2010年6月在我科初治结核病患者90例,男58例,女32例,年龄18~75岁,平均49.0岁;随机分为两组各45例,研究组中,男31例,女14例,平均年龄48.6岁;对照组中,男27例,女18例,平均年龄49 ......

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