结核病病人治疗依从性调查及分层护理干预  

INVESTIGATION OF THERAPEUTIC COMPLIANCE OF PATIENTS WITH TUBERCULOSIS AND STRATIFIED NURSING INTERVENTION

作　　者：冯桂芹[1] 

机构地区：[1]胜利石油管理局胜利医院,山东东营257055

出　　处：《青岛大学医学院学报》2012年第6期526-527,530,共3页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的调查结核病病人治疗依从性的影响因素,探讨护理干预措施,为减少不规则治疗,防止复治及耐药的发生提供建议。方法选择我院2010年2月—2011年1月住院结核病病人214例,进行问卷调查,并针对性地进行分层护理干预。结果年龄、性别、文化程度、婚姻状况、个人收入、家庭经济情况、结核病知识知晓率等均影响病人的治疗依从性(χ2=9.928～102.941,P<0.05)。不规则治疗共发生11例,总发生率为5.14%,其中完全依从组1例,部分依从组6例,依从性差组4例,3组间比较差异无显著性(P>0.05);与2010年全国结核病流行病学调查结果比较,差异有显著性(t=36.210,P<0.05)。结论在护士人力资源紧张的情况下,采取分层护理干预对提高病人服药依从性具有明显效果。Objective To investigate the influencing factors of therapeutic compliance in patients with tuberculosis（TB）,and explore intervention measures,so as to reduce irregular treatment and prevent retreatment and development of drug resistance.Methods A selection was done in 214 TB patients hospitalized in our hospital during the period from February 2010 to January 2011,who were investigated using a questionnaire,and a stratified target nursing intervention conducted.Results Age,sex,education background,marital status,personal income,family economy status and awareness of knowledge on tuberculosis were all that influenced the compliance（χ2=9.928-102.941,P〈0.05）.Irregular treatment was noted in 11 cases,the total incidence being 5.14%.Of which,one was found in fully-compliant group,six in partly-compliant group,and four in poorly-compliant group,the differences among the three groups were not significant（P〈0.05）.Compared with the 2010 national TB epidemiological study,the difference was significant（t=36.210,P〈0.05）.Conclusion With the shortage of nurses,stratified nursing intervention has an obvious effect on improving the compliance of drug administration in patients.

关 键 词：结核 病人依从 护理 

分 类 号：R473.5[医药卫生—护理学]