全程督导管理对肺结核患者的临床效果研究  

Research on the Clinical Effect of Directly Observed Therapy on Patients with Tuberculosis

作　　者：孙林岚 丁永军[2] 

机构地区：[1]绍兴市中心医院 [2]绍兴第二医院

出　　处：《医院管理论坛》2015年第5期27-29,共3页Hospital Management Forum

摘　　要：目的探讨全程督导管理应用于肺结核患者的临床效果。方法随机抽取2013年1月至2013年12月医院传染科200例肺结核病人作为研究对象,分为实验组和对照组。对照组采用患者用药自管理,实验组采用护理人员全程督导管理。观察比较两组患者的治疗效果和不良反应发生情况。结果 (1)实验组治疗中断率、断药率均显著低于对照组(P<0.05)。(2)两个月强化治疗期结束时实验组痰抗酸染色转阴率、病灶吸收率显著高于对照组(P<0.05)。(3)实验组不良反应发生率显著低于对照组(P<0.05)。结论全程督导管理能有效保证结核治疗的连贯性,提高结核病治愈率。Objective Discuss clinical effect of directly observed therapy on patients with tuberculosis. Method 200 patients who had been in the department of infectious disease in our hospital for the treatment of tuberculosis between January 2013 and December 2013 were randomly divided into 2 groups. The treatment group was managed with directly observed therapy by nurses while the control group was managed by the patients themselves. Observe and compare the treatment effect and adverse reaction of the two groups. Results （1）The interruption rate of treatment and medication of treatment group is significantly lower than that of control group （P〈0.05）.（2）After 2 months＇ intensive treatment, negative conversion ratio of smear anti-acid staining and lesion absorptivity in treatment group were significantly higher than that of control group （P〈0.05）.（3）The incidence of adverse reactions in treatment group was lower than e control group （P〈0.05） Conclusion Directly observed therapy can ensure the continuity of tuberculosis treatment and improve the recovery rate of tuberculosis.

关 键 词：全程督导管理 肺结核 临床效果 

分 类 号：R521[医药卫生—内科学]