完全管理模式对耐多药肺结核患者心理状态、治疗依从性的影响  

Effects of Complete Management Model on Psychological Status and Treatment Compliance of Patients with Multidrug-resistant Tuberculosis

作　　者：凡翠华[1] 贺宁 FAN Cui-hua;HE Ning(Department of Respiration,Henan Provincial Chest Hospital,Zhengzhou 450003,Henan Province,China)

机构地区：[1]河南省胸科医院呼吸科,河南郑州450003 [2]武警河南总队心理科,河南郑州450003

出　　处：《罕少疾病杂志》2020年第1期3-5,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨分析完全管理模式对耐多药肺结核患者心理状态、治疗依从性的影响。方法选取我院2016年2月至2018年2月收治的48例耐多药肺结核患者为研究对象,采用随机数字表方法分为观察组(24例)和对照组(24例),对照组予以常规社区管理,观察组在对照组的基础上予以完全管理模式,两组均干预管理2年。管理前后采用Kessler10量表(K10)、自拟健康知识掌握情况调查问卷及自拟依从性量表评估两组患者的心理健康状态、健康知识掌握情况及治疗依从性。结果观察组的K10评分显著低于对照组(P<0.05),健康知识评分显著高于对照组(P<0.05);观察组在未擅自更改药量、整个病程无漏服及规律服药方面的依从性均显著高于对照组(P<0.05)。结论对耐多药肺结核运用完全管理模式能够改善患者心理状态、提高健康知识及治疗依从性。Objective To explore and analyze the effects of complete management model on psychological status and treatment compliance of patients with multidrug-resistant tuberculosis. Methods 48 patients with multidrug-resistant tuberculosis admitted to our hospital from February 2016 to February 2018 were selected for the study and were divided into observation group(24 cases) and control group(24 cases) according to the random number table method. Control group was given conventional community management, and observation group was given complete management model on the basis of control group, and the two groups were intervened and managed for 2 years. Before and after management, the Kessler 10 scale(K10), self-made health knowledge mastery questionnaire and selfmade compliance scale were used to assess the psychological health status, health knowledge mastery and treatment compliance in the two groups. Results The K10 score in observation group was significantly lower than that in control group(P<0.05) while the health knowledge score was significantly higher than that in control group(P<0.05). The scores of compliance of not arbitrarily changing dose, no leakage during whole course and regular medication in observation group were significantly higher than those in control group(P<0.05). Conclusion Complete management model for multidrug-resistant tuberculosis can improve the psychological status and enhance health knowledge and treatment compliance.

关 键 词：完全管理模式 耐多药肺结核 心理状态 依从性 

分 类 号：R473.5[医药卫生—护理学] R521[医药卫生—临床医学]