健康教育联合护理干预提升肺结核患者疾病认知程度的效果研究  

Effect of health educaaon combined with nursing intervention on improving the awareness of patients＇ tuberculosis knowledge

作　　者：吴秦敏 王新霞[2] 沈轶群[1] 陈苏红[3] 唐碧晴 叶芸[5] 

机构地区：[1]浙江省湖州市中心医院门诊,313000 [2]浙江省湖州市中心医院感染科 [3]浙江省湖州市中心医院护理部 [4]浙江大学医学院附属第一医院门诊输液室,杭州310009 [5]浙江省金华市中心医院重症医学科,321000

出　　处：《中华现代护理杂志》2015年第11期1303-1305,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨健康教育联合护理干预对提升肺结核患者（rIB）疾病认知程度的效果。方法选择2012年6月-2014年6月接受TB治疗的1186例患者作为研究对象，按照接受护理措施的不同将患者分为观察组和对照组，每组各593例。观察组患者接受健康教育联合护理干预，对照组患者接受常规护理。定时对两组研究对象进行TB知识的问卷调查，对患者预后的生命体征和预后满意度进行统计分析。结果干预后观察组得分≥60分的患者540例（91．1％），多于对照组的402例（67．8％），差异有统计学意义（P〈0．05）。干预后观察组得分≥80分的患者402例（67．8％），多于对照组的207例（34．9％），差异有统计学意义（P〈0．05）。观察组生活质量（QOL）总评分为（603．6±127．4）分，高于对照组的（512．9±114．9）分，差异有统计学意义（t=2．59，P〈0．05）。观察组患者的护理满意度高于对照组，差异有统计学意义（Z=91．3，P〈0．05）。结论通过健康教育联合护理干预能有效提升TB患者对TB知识的知晓率，从而有利于患者心理状态和生活质量的提升，值得在临床上进一步推广。Objective To explore the effect of health education combine with nursing intervention on improving the awareness of patients＇ tuberculosis （TB） knowledge effectiveness. Methods A total of 1 186 cases of TB from June 2012 to June 2014 in our hospital were selected. According to accepted care measures, patients were divided into two groups, 593 cases received health education combined with nursing intervention were as the observation group, while another 593 cases received conventional care were as the control group. The questionnaires about TB knowledge, vital signs and prognosis of patient satisfaction outcomes were analyzed. Results Before accepting health education, the difference of knowledge of TB between the two groups was not statistically significant （P 〉0.05）. After the health education combined with nursing intervention, 540 （91.1%） patients in the observation group got a score of TB knowledge over 60, which was significantly higher than 402 patients （67.8%） in the control group （P 〈0.05）. 402 （67.8%） patients in the observation group got a score of TB knowledge over 80, which was significantly higher than 207 patients （34.9%） in the control group （P〈O. 05）. The total score of quality of life in the observation group were （603.6 ~ 127.4）, which was significantly higher than （512. 9 ~ 114. 9） in the control group （ t = 2. 59,P 〈 0. 05）. The rate of satisfaction in observation group was significantly higher than that in the control group （Z =91.3 ,P 〈0.05）. Conclusions Health education combined with nursing intervention can effectively improve the knowledge and awareness of TB patients. The psychological status and quality of life had significantly enhanced, thus it is worthy of further promotion in clinical practice.

关 键 词：肺结核 护理 健康教育 生活质量 

分 类 号：R473.5[医药卫生—护理学]