针对性预防控制对肺结核患者的应用效果分析  

Analysis of the Effectiveness of Targeted Preventive Control Applied to Patients with Pulmonary Tuberculosis

作　　者：赵娜 宋淑玲[2] 潘双双[2] Zhao Na;Song Shu-ling;Pan Shuang-shuang(Huimin County Center for Disease Control and Prevention,Binzhou 251700,Shandong Province,China;Binzhou Central Hospital,Binzhou 251700,Shandong Province,China)

机构地区：[1]惠民县疾病预防控制中心,山东滨州251700 [2]滨州市中心医院,山东滨州251700

出　　处：《中外医药研究》2023年第2期90-92,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析针对性预防控制对肺结核患者的应用效果。方法:选取2021年10月—2022年7月惠民县疾病预防控制中心收治的肺结核患者76例为观察对象,根据随机数字表法分为对照组与观察组,各38例。对照组给予常规干预,观察组给予针对性预防控制干预。比较两组患者服药依从性、肺功能指标、负面情绪、自护能力。结果:观察组服药依从性高于对照组,差异有统计学意义(P=0.025)。干预后,两组患者第1秒用力呼气容积(FEV_(1))、用力肺活量(FVC)、第1秒呼气容积占用力肺活量的百分比(FEV_(1)/FVC)水平均升高,差异有统计学意义(P<0.05);观察组FEV_(1)、FVC、FEV_(1)/FVC水平高于对照组,差异有统计学意义(P<0.001)。干预后,两组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均降低,差异有统计学意义(P<0.05);观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.001)。干预后,两组患者自护责任感、自护知识、自我概念、自护技能评分均升高,差异有统计学意义(P<0.05);观察组自护责任感、自护知识、自我概念、自护技能评分高于对照组,差异有统计学意义(P<0.001)。结论:针对性预防控制干预可提升肺结核患者的服药依从性和自我护理能力,缓解其负面情绪,改善肺功能。Objective:To analyze the effect of targeted preventive control applied to patients with pulmonary tuberculosis.Methods:Seventy-six cases of pulmonary tuberculosis patients admitted to Huimin County Center for Disease Prevention and Control from October 2021 to July 2022 were selected as observation subjects and divided into control group and observation group according to the random number table method,with thirty-eight cases each.The control group was given conventional interventions and the observation group was given targeted preventive control interventions.The patients in the two groups were compared in terms of medication compliance,pulmonary function index,negative emotion,and self-care ability.Results:The medication compliance in the observation group was higher than that in the control group,and the difference was statistically significant(P=0.025).After the intervention,the levels of 1st second expiratory volume(FEV_(1)),exertional lung volume(FVC),and 1st second expiratory volume as a percentage of exertional lung volume(FEV_(1)/FVC)were higher in both groups,and the difference was statistically significant(P<0.05);The levels of FEV_(1),FVC,and FEV_(1)/FVC in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.001).After the intervention,the anxiety self-assessment scale(SAS)and depression self-assessment scale(SDS)scores decreased in both groups,and the difference was statistically significant(P<0.05);The SAS and SDS scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.001).After the intervention,the scores of self-care responsibility,self-care knowledge,self-concept,and self-care skills increased in both groups,and the difference was statistically significant(P<0.05);In the observation group,the scores of self-care responsibility,self-care knowledge,self-concept,and self-care skills were higher than those in the control group,and the difference was statistica

关 键 词：肺结核 针对性预防控制 服药依从性 肺功能 

分 类 号：R47[医药卫生—护理学]