现代肺结核预防及控制策略对肺结核临床治疗效果及服药依从性影响分析  

Analysis of the Influence of Modern Tuberculosis Prevention and Control Strategies on the Clinical Therapeutic Effect and Medication Compliance of Tuberculosis

作　　者：锁慧芳 SUO Huifang(Department of Immunization Planning,Luoning County Center for Disease Control and Prevention,Luoning Henan 471700,China)

机构地区：[1]洛宁县疾病预防控制中心免疫规划科,河南洛宁471700

出　　处：《临床研究》2023年第6期195-198,共4页Clinical Research

摘　　要：目的 探讨现代化肺结核的预防及控制策略的临床效果及服药依从性影响。方法 选取2020年10月至2022年10月洛宁县收治的557例肺结核患者对其进行随访干预,并通过随机分组法将患者分为对照组(N=320例,接受常规的健康用药指导)与研究组(N=237,接受肺结核现代化预防及控制策略),所有患者均于随访3个月获得相关数据结果,包括疾病认知度、治疗依从性、治愈率、再传染率以及并发症发生率,并在策略干预前后调查两组患者的心理状态、自我护理能力。其中自行回院复查的患者自主填写问卷,未回院复查的患者由医护电话随访后代写。结果 研究组疾病认知度评分及总分均高于对照组,差异有统计学意义(P <0.05),干预后,研究组治疗依从性率高于对照组,差异有统计学意义(P <0.05),研究组的治愈率高于对照组,并发症发生率及再传染率低于对照组,差异有统计学意义(P <0.05),干预前两组SAS、SDS评分比较差异无统计学意义(P> 0.05),干预后两组SAS、SDS评分均降低,且研究组低于对照组,差异有统计学意义(P <0.05);干预前两组自我护理能力各维度评分差异无统计学意义(P>0.05),干预后两组各维度评分均高于干预前,且研究组高于对照组,差异有统计学意义(P <0.05)。结论 通过现代肺结核预防及控制策略能有效提升患者对疾病的认知度和治疗依从性,同时改善患者的心理状态,提高患者自护能力,有利于治愈疾病,减少并发症,改善预后,防止疾病进一步传播。Objective To explore the clinical effect of modern prevention and control strategies for pulmonary tuberculosis and the influence of medication compliance.Methods A total of 557 patients with pulmonary tuberculosis treated in Luoning County from October 2020 to October 2022 were selected for follow-up intervention and the patients were randomly divided into a control group(N=320 patients,receiving routine health medication guidance)and a study group(N=237 patients,receiving modern prevention and control strategies for pulmonary tuberculosis).All patients were followed up for 3 months to obtain relevant data,including disease awareness,treatment compliance,cure rate,retransmission rate,and complication rate.The psychological state and self-care ability of patients in both groups were investigated before and after the strategic intervention.The patients who returned to the hospital for reexamination filled in the questionnaire independently and the patients who did not return to the hospital for reexamination were written by the offspring of the medical care phone follow-up.Results The disease awareness score and total score of the study group were higher than those of the control group,the difference was statistically significant(P<0.05).After the intervention,the treatment compliance rate of the study group was higher than that of the control group,the difference was statistically significant(P<0.05),the cure rate of the study group was higher than that of the control group,the complication rate and reinfection rate were lower than that of the control group,the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in SAS and SDS scores between the two groups(P>0.05).After the intervention,the SAS and SDS scores of the two groups were decreased,and the study group was lower than the control group,the difference was statistically significant(P<0.05).Before the intervention,there was no statistical significance in the scores of self-care ability in each dimensio

关 键 词：肺结核 预防 控制策略 服药依从性 

分 类 号：R521[医药卫生—内科学]