中西医结合延伸性护理措施对肺结核患者治疗效果和生活质量的影响  

Effect of Chinese and Western Medicine Combined with Extended Nursing Measures on Treatment and Quality of Life in Patients with Tuberculosis

作　　者：方丽敏[1] 王金晶 余丹[1] 夏乔 FANG Limin;WANG Jinjing;YU Dan;XIA Qiao

机构地区：[1]杭州师范大学附属医院结核科,浙江杭州310015

出　　处：《新中医》2020年第10期143-146,共4页New Chinese Medicine

摘　　要：目的:观察中西医结合延伸性护理措施对肺结核患者治疗效果和生活质量的影响。方法:将120例初治肺结核患者根据不同护理措施分为观察组64例和对照组56例。2组均给予常规抗痨治疗,并给予宣教、心理护理、建立良好生活习惯的护理措施,出院后以电话、微信平台进行延伸性护理,观察组同时给予中药穴位贴敷(治疗12周)和饮食指导。2组疗程均为6个月。评价2组患者6个月治疗期间的服药依从性、按时复查依从性和饮食依从性,治疗前后进行症状评估和不良反应评价,应用世界卫生组织生存质量测定量表简表(WHOQOL-BRIEF)评价生活质量。结果:在6个月治疗期间,观察组的服药依从性、按时复查依从性和饮食依从性均高于对照组(P<0.05,P<0.01)。2组治疗1~6个月的肺结核症状评分均较治疗前下降(P<0.01),观察组治疗1~6个月的肺结核症状评分均低于对照组(P<0.01)。观察组治疗1~6个月的不良反应症状评分均低于对照组(P<0.01)。治疗3个月,2组WHOQOL-BRIEF评分均较治疗前下降(P<0.01)。治疗6个月,对照组WHOQOL-BRIEF评分低于治疗前(P<0.01),观察组与治疗前比较,差异无统计学意义(P>0.05)。观察组治疗3个月、6个月的WHOQOL-BRIEF评分均高于对照组(P<0.01)。结论:采用中西医结合延伸性护理措施干预肺结核抗痨治疗患者,可提高患者的服药、复查和饮食依从性,减轻肺结核症状和不良反应,稳定或改善患者的生活质量。Objective:To observe the effect of Chinese and western medicine combined with extended nursing measures on treatment and quality of life in patients with tuberculosis. Methods: A total of 120 cases of patients initially treating tuberculosis were divided into the observation group and the control group according to different nursing measures,64 and 56 cases in each group respectively. Both groups were given routine antituberculous therapy and nursing measures including instruction and education, psychological nursing care and establishment of good living habits. After discharge, extended nursing measures were performed by telephone and Wechat,and at the same time,the observation group was given point application by Chinese medicine for 12 weeks and diet guidance. Both groups were treated for six months. During the sixmonth treatment,the compliance of medication,reexamination on time and diet in the two groups was evaluated. Before and after treatment,the symptoms and adverse reactions were evaluated,and the quality of life was assessed by World Health Organization Quality of Life-BREF(WHOQOL-BREF). Results:During the six-month treatment,the compliance of medication,reexamination on time and diet in the observation group was higher than that in the control group(P<0.05,P<0.01). After treatment for one to six months,the symptom scores of tuberculosis in the two groups were decreased when compared with those before treatment(P<0.01),and the score in the observation group was lower than that in the control group(P<0.01). The score of adverse reactions in the observation group was lower than that in the control group(P<0.01).After treatment for three months, the WHOQOL-BREF scores in the two groups were decreased when compared with those before treatment(P<0.01). After treatment for six months,the WHOQOL-BREF score in the control group was lower than that before treatment(P<0.01), and no significant difference was found in the comparison of the score in the observation group before and after treatment(P>0.05). After t

关 键 词：肺结核 延伸性护理 穴位贴敷 饮食护理 依从性 不良反应 生活质量 

分 类 号：R521[医药卫生—内科学]