综合护理干预在肺结核患者治疗依从性中的临床研究(1)
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[摘要] 目的：探讨综合护理干预在肺结核患者治疗依从性中的方法和疗效。方法：选取本院收治的80例肺结核患者随机抽取分成两组，实验组40例，行综合护理干预。对照组40例，行普通护理干预。随访6个月～1年，对比两组患者护理后认知、行为变化和依从性改变。结果：两组内相比，护理后患者的依从性均优于护理前，差异有统计学意义(P<0.05)；两组间相比，实验组患者的治疗依从性，认知及行为改变均优于对照组，差异有统计学意义(P<0.05)。结论：应用综合护理早期对肺结核患者实施干预能有效提高患者的治疗依从性，改善其认知及行为，提高患者的生存质量，值得在临床护理中推广使用。
[关键词] 综合护理干预；肺结核；依从性；临床研究
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2012)01(a)-120-02
Clinical research of comprehensive nursing intervention on treatment compliance with tuberculosis patients
LI Changfei
Nursing Department of Tuberculosis Hospital of Jilin Province, Changchun 130500, China
[Abstract] Objective: To discuss the treatment and outcome of comprehensive nursing intervention on treatment compliance with tuberculosis patients. Methods: Eighty cases of pulmonary tuberculosis patients in our hospital were randomly selected and classified into two groups, the test group of 40 cases who were treated with comprehensive nursing intervention and the control group of 40 cases who were just given routine nursing care. All patients were followed up for 6 months to 1 year. The modification of cognition and behavioral and compliance in two groups were compared. Results: The treatment compliance after nursing was better than before, the difference had statistics significance (P<0.05). The modification of cognition and behavioral and compliance in test group were significantly better than those in control group, the difference had statistics significance(P<0.05). Conclusion: We can improve the treatment compliance of patients with tuberculosis after the treatment of comprehensive nursing intervention, improve their cognition and behavior, and improve the patient's existence quality. The method is worth promoting the use in clinical nursing.
[Key words] Comprehensive nursing intervention; Tuberculosis; Compliance; Clinical research
近年来，随着环境的恶化，结核病的发病率不断升高，其对患者的生活质量将产生比较严重的影响，而治疗后依从性的干预对患者的长期预后显得尤为重要[1]。为探讨综合护理干预在肺结核患者治疗依从性中的方法和疗效，为临床护理提供指导，笔者选取本院收治的80例肺结核患者，报道如下：
1 资料与方法
1.1 一般资料
随机选取本院2010年1月～2011年1月收治入院的80例肺结核患者，采用随机抽取法分为两组。其中，男45例，女35例，年龄19～56岁，平均(43.8±7.8)岁，其中1型肺结核10 例，2型肺结核70 例，80例患者随机分成两组 ......
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