药物自我管理训练在结核病督导化疗管理中的应用效果  

Application of drug self-management training in observed treatment of tuberculosis

作　　者：周子群 

机构地区：[1]广东省珠海市香洲区人民医院院感科,广东珠海519070

出　　处：《中国当代医药》2016年第4期169-172,共4页China Modern Medicine

摘　　要：目的探讨药物自我管理训练在结核病督导化疗管理中的应用效果。方法将100例门诊初治涂阳肺结核患者,随机分成实验组和常规组,各50例,两组患者治疗过程中均对患者与家属进行督导化疗管理,同时实验组还由责任护士对患者进行药物自我管理训练培训;自拟治疗态度、服药态度及服药依从性调查表比较两组患者服药依从性的情况,分别于初治疗程结束2年后观察患者复发率的情况。结果实验组治疗过程中治疗态度、服药态度及服药依从性高于常规组,随访3年,复发率明显低于常规组,差异有统计学意义(P<0.05)。结论在肺结核病督导管理中运用药物自我管理训练可以有效提高新涂阳肺结核患者的服药依从性和降低复发率,切实提高患者的生活质量,为肺结核病项目窗口护理工作提供一种创新模式。Objective To discuss the effects of drug self-management training in observed treatment of tuberculosis.Methods 100 new smear positive pulmonary tuberculosis patients were randomly and equally divided into the study group and the common group,50 cases in each group.Patients in both groups were given observed treatment,while patients in the study group were additionally trained by drug self-management training.A questionnaire of treatment attitude,drug-taking attitude and drug therapy compliance was designed to compare the drug therapy compliance of both groups.The patients were followed up 2 years after treatment to record the recurrence rate. Results The scores of treatment attitude,drug-taking attitude and drug therapy compliance in the study group were higher than those of common group.At the third year follow up,the recurrence rate in the study group was significantly lower than that of common group（P〈0.05）. Conclusion Application of drug self-management training in observed treatment of tuberculosis can effectively improve the drug therapy compliance and lower the recurrence rate,thus improve the life quality of patients,providing a new method for nursing of tuberculosis patients.

关 键 词：新涂阳肺结核病 药物自我管理训练 服药依从性 复发率 

分 类 号：R521[医药卫生—内科学]