综合性护理干预对肺结核合并抑郁症患者治疗依从性及抑郁情绪的影响  

Effect of comprehensive nursing on treatment compliance and depression in patients with pulmonary tuberculosis complicated with depression

作　　者：薛秒[1] 刘莉[1] 余梅[1] 

机构地区：[1]四川大学华西医院呼吸科结核病房,成都610041

出　　处：《华西医学》2017年第5期745-748,共4页West China Medical Journal

摘　　要：目的研究综合性护理干预对肺结核合并抑郁症患者治疗依从性及抑郁情绪的影响。方法选择2012年5月—2014年6月期间收治的肺结核合并抑郁症患者57例进行研究,按随机数表法将其分为接受综合性护理干预的研究组(n=30)和接受常规护理干预的对照组(n=27)。护理干预后,对两组患者的抑郁情绪评分、治疗依从性以及临床治疗效果进行调查分析。结果护理干预后3、4、5、6个月,研究组汉密尔顿抑郁量表总评分分别为(19.18±2.36)、(18.65±2.61)、(17.43±1.78)、(16.57±2.05)分,对照组分别为(22.05±3.03)、(21.88±2.85)、(20.96±2.06)、(20.04±1.39)分;研究组痰菌转阴率分别为66.7%、76.7%、80.0%、86.7%,对照组分别为37.0%、44.4%、51.6%、63.0%;研究组肺CT病灶吸收率分别为43.3%、56.7%、63.3%、76.7%,对照组分别为18.5%、25.9%、35.3%、40.7%;以上指标组间比较,差异均有统计学意义(P<0.05)。研究组和对照组患者治疗依从性分别为90.0%和63.0%,差异有统计学意义(P<0.05)。结论综合性护理干预有助于改善肺结核合并抑郁症患者的负性情绪、提高治疗依从性以及临床治疗效果,有利于促进患者早日康复。Objective To study the effect of comprehensive nursing on the treatment compliance and depression of patients with pulmonary tuberculosis complicated with depression. Methods Fifty-seven patients with pulmonary tuberculosis complicated with depression treated between May 2012 and June 2014 were randomly divided into study group （n=30） which was given comprehensive nursing, and control group （n=27） which accepted routine nursing. The scores of depression, treatment compliance and clinical treatment outcome were compared between the two groups. Results The scores of Hamilton Depression Scale were respectively 19.18±2.36, 18.65±2.61, 17.43＋1.78 and 16.57＋2.05 at the time of 3, 4, 5 and 6 months after nursing intervention, while the same scores of the control group were 22.05±3.03, 21.88±2.85, 20.96±2.06 and 20.04± 1.39. The sputum negative conversion rates in the study group at those time periods were respectively 66.7%, 76.7%, 80.0% and 86.7%, while the rates in the control group were 37.0%, 44.4%, 51.6% and 63.0%. The CT lung lesions absorption rates in the study group were 43.3%, 56.7%, 63.3% and 76.7%, while the rates in the control group were 18.5%, 25.9%, 35.3% and 40.7%. The above indicators between the two groups were all statistically significant （P〈0.05）. The compliance of treatment in the study group was 90.0%, which was significantly higher than that in the control group （63.0%） （P〈0.05）. Conclusion Comprehensive nursing can help to improve negative emotion, enhance treatment compliance and clinical treatment effect, and promote the early recovery of patients with pulmonary tuberculosis combined with depression.

关 键 词：综合性护理干预 肺结核 抑郁症 依从性 

分 类 号：R473[医药卫生—护理学]