自我护理干预对传染性肺结核患者治疗依从性及生活质量的影响  

Effect of self-care intervention on treatment compliance and quality of life in patients with infectious pulmonary tuberculosis

作　　者：何春梅[1] 张婕[1] 林奕[1] 刘君财[1] 何小琴[1] 

机构地区：[1]深圳市第三人民医院,广东深圳518112

出　　处：《包头医学院学报》2017年第7期105-107,共3页Journal of Baotou Medical College

基　　金：深圳市科技计划项目(卫生医疗类;200802054)

摘　　要：目的:观察自我护理干预模式对提高传染性肺结核患者的治疗依从性及生活质量的效果。方法:选取传染性肺结核病患者160例,随机分为观察组和对照组,各80例,观察组采用自我护理干预模式,对照组采用常规护理模式,对两组患者的治疗有效率、治疗依从性以及生活质量评分进行对比分析。结果:观察组患者的治愈率为45.0%(36/80),高于对照组的25.0%(20/80)(χ2=7.033,P=0.008);观察组患者的治疗总有效率为92.5%(74/80),高于对照组的80.0%(64/80)(χ2=5.270,P=0.022);观察组患者治疗完全依从者比例为61.25%(49/80),高于对照组的13.75%(11/80)(χ2=38.507,P=0.000);观察组患者躯体健康、社会功能、精力、情感状况、心理健康各项生活质量指标得分均高于对照组(P<0.05)。结论:自我护理干预模式能提高患者的治疗依从性,提高治疗效果,从而提升患者的生活质量。Objective： To observe the effect of self - care intervention mode on improving the compliance and quality of life of patients with in- fectious pulmonary tuberculosis. Methods： 160 patients with infectious pulmonary tuberculosis were randomly divided into the observation group and the control group, 80 patients in each group. The observation group was treated with self - care intervention model while the control group was trea- ted with routine nursing model, with the effective rates and compliance of the treatment and the quality of life compared and analyzed. Results： The cure rate of the observation group was 45.0 % （36/80） , which was higher than that of the control group （25.0 % （20/80） （ X 2 = 7. 033, P = 0. 008 ）. The total effective rate of the observation group was 92.5 % （74/80）, which was higher than that of the control group （ 80.0 % ） （64/ 80） （ X2 = 5.270, P =0.022）. The rate of complete compliance in the observation group was 61.25% （49/80） , which was higher than that of the control group（ 13.75 % ） （11/80） （ X： = 38. 507, P =0. 000）. The scores of quality of life such as physical health, social function, ener- gy, emotional state and mental health were higher than those of the control group （ P 〈 0.05 ）. Conclusion： Self - care intervention mode can im- prove the treatment compliance of patients and improve the therapeutic effect, thus improving the quality of life of patients.

关 键 词：自我护理干预 传染性肺结核 依从性 生活质量 

分 类 号：R473.5[医药卫生—护理学]