护士-家属协同督导模式在老年肺结核患者管理中的应用  

Application of nurse-family coordination supervisor model in the management of elderly patients with tuberculosis

作　　者：钟凯惠 钟明思[2] 谭少请 ZHONG Kai-hui;ZHONG Ming-si;TAN Shao-qing(Department of Nursing, the Fourth People＇s Hospital of Foshan City, Foshan 528000, Guangdong, CHINA;Department of Hemodialysis, the Second Affiliated Hospital of Sun Yat-sen University, Guangzhou 510120, Guaagdong, CHINA)

机构地区：[1]佛山市第四人民医院护理部,广东佛山528000 [2]中山大学附属第二医院血透室,广东广州510120

出　　处：《海南医学》2018年第11期1622-1625,共4页Hainan Medical Journal

摘　　要：目的探讨护士-家属协同督导模式在老年肺结核患者管理中的应用效果。方法选择2015年7月至2016年12月在佛山市第四人民医院结核科住院的150例肺结核患者为研究对象,按照住院的单双号分为观察组和对照组,每组75例,两组患者入院后均进行规范化的抗结核治疗,疗程6个月(复治8个月),对照组实施常规的护理管理模式,观察组实施护士-家属协同督导模式。出院1年后对两组患者的治疗依从性、治疗效果、再住院率进行评价。结果观察组患者治疗依从性中的全程无漏服、全程按时复查、全程系统登记分别为71例(97.3%)、68例(93.2%)和70例(95.9%),均明显高于对照组的58例(79.4%)、51例(69.9%)和52例(71.2%),差异均有统计学意义(P<0.05);观察组患者胸部X线检查病灶的显著吸收和吸收分别为26例(35.6%)和40例(54.8%),均明显高于对照组的15例(20.5%)和27例(37.1%),差异均有统计学意义(P<0.05);观察组患者的再住院率及平均再住院天数分别为12.3%、(7.23±3.26)d,明显低于对照组的26.0%、(13.45±3.72)d,差异均有统计学意义(P<0.05)。结论对老年肺结核患者实施护士-家属协同督导,规范了患者出院后后续的管理,加强了医患间的沟通与联系,能有效提高肺结核患者的治疗依从性,改善治疗效果、降低再住院率。Objective To explore the effect of nurse-family cooperative supervision model in the management of elderly patients with pulmonary tuberculosis. Methods From July 2015 to December 2016, 150 patients with pulmonary tuberculosis who admitted to the Fourth People＇s Hospital of Foshan City were selected and divided into the observation group and the control group according to the hospital＇s odd and even number of the patients, with 75 cases in each group. The patients in the two groups were treated with standardized anti-tuberculosis therapy for 6 months after admission（8 months of retreatment）. The control group applied routine nursing management mode, and the observation group applied the nurse-family coordination supervision mode. After one year of hospital discharge, the treatment compliance,curative effect and readmission rate of the two groups were evaluated. Results In the observation group, the number of cases of no leakage, timely reexamination and systematic registration in the treatment compliance were respectively 71 cases（97.3%）, 68 cases（93.2%） and 70 cases（95.9%）, which were significantly higher than corresponding 58 cases（79.4%）, 51 cases（69.9%） and 52 cases（71.2%） in the control group（P〈0.05）; the number of cases of significant absorption and absorption of chest X-ray lesions in the observation group were respectively 26 cases（35.6%） and 40 cases（54.8%）, which were significantly higher than 15 cases（20.5%） and 27 cases（37.1%） in the control group（P〈0.05）, and the rate of readmission and the average days of hospitalizations were respectively 12.3% and（7.23±3.26） d in the observation group, which were significantly lower than corresponding 26.0% and（13.45 ± 3.72） d in the control group（P〈0.05）. Conclusion The implementation of nurse-family coordination supervisor model for the elderly patients with tuberculosis, regulation of the follow-up management of patients after discharge, reinforcement of the communication and contact be

关 键 词：肺结核 老年患者 协同督导 治疗依从性 

分 类 号：R473.5[医药卫生—护理学]