精细化护理干预及多学科协作对住院结核患者外出检查口罩佩戴依从性的影响  

Effect of meticulous nursing intervention and multi-disciplinary team collaboration on compliance to mask wearing among tuberculosis inpatients going out for check-up

作　　者：何燕[1] 薛秒[1] 王珊珊[1] 刘祥敏[1] HE Yan;XUE Miao;WANG Shanshan;LIU Xiangmin(West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院,四川成都610041

出　　处：《中国感染控制杂志》2018年第8期717-719,724,共4页Chinese Journal of Infection Control

摘　　要：目的探讨精细化护理干预及多学科协作对结核病患者外出检查口罩佩戴依从性和正确性的影响。方法调查某院结核科2015年10月—2016年12月的结核病患者。2015年10—12月为干预前组,不予干预,2016年1—12月为干预后组,采取精细化护理及多学科协作干预措施,比较干预前后结核病患者外出检查医用外科口罩佩戴情况及对结核病防控措施的认知情况。结果共收治住院结核病患者799例,干预前组160例,干预后组639例。干预前结核病患者外出检查口罩佩戴率为50.63%,正确率为86.42%;干预后组口罩佩戴率为95.31%,正确率为98.52%。干预前后不同季度结核病患者外出检查口罩佩戴率、正确率比较,差异均有统计学意义(χ~2值分别为222.94、38.512,均P=0.000)。干预后患者对结核病及防控措施的认知度均高于干预前,差异均具有统计学意义(均P<0.001)。结论精细化护理及多学科协作干预措施可提高结核病患者外出检查口罩佩戴率及正确率,且可提高患者对结核病及防控措施的认知度。Objective To explore the effect of meticulous nursing intervention and multidisciplinary team（MDT） collaboration on the compliance and correctness of wearing masks of tuberculosis（TB） patients going out for checkup. MethodsTB patients in the tuberculosis department of a hospital from October 2015 to December 2016 were investigated. OctoberDecember 2015 was pre intervention group（without intervention）, JanuaryDecember 2016 was postintervention group, meticulous nursing intervention and MDT collaboration were adopted, wearing status of medical surgical masks and awareness of TB prevention and control measures in TB patients going out for checkup before and after intervention were compared. Results799 TB patients were admitted in hospital, 160 cases were in pre intervention group and 639 in postintervention group. Before intervention, mask wearing rate and correct mask wearing rate were 50.63% and 86.42% respectively; after intervention, mask wearing rate and correct mask wearing rate were 95.31% and 98.52% respectively. Wearing rate and correct wearing rate of masks of TB patients at different seasons before and after intervention were compared, difference were both statistically significant （χ2=222.94, 38.512,respectively, both P=0.000）. After intervention, patients’ awareness of tuberculosis and prevention and control measures were both higher than before intervention, difference were both statistically significant （both P〈0.001）. ConclusionMeticulous nursing intervention and MDT collaboration can improve the wearing rate and correct wearing rate of masks in TB patients going out for checkup.

关 键 词：精细化护理 多学科协作 结核病 口罩佩戴率 干预 

分 类 号：R181.32[医药卫生—流行病学]