复治菌阳肺结核治疗成功后再次复发患者社会适应能力分析  

Analysis of social adaptability of patients with relapsed pulmonary tuberculosis after successful treatment

作　　者：李俊姗 LI Jun-shan(The First Affiliated Hospital of Xinxiang Medical College,Xinxiang,Henan,453100,China)

机构地区：[1]新乡医学院第一附属医院感染防控科,河南新乡453100

出　　处：《医药论坛杂志》2023年第17期79-82,共4页Journal of Medical Forum

摘　　要：目的 分析复治菌阳肺结核治疗成功后再次复发患者的社会适应能力,为改进术后干预措施提供依据。方法 前瞻性巢式病例对照研究,选取2018年5月—2021年6月期间新乡医学院第一附属医院收治的复治菌阳肺结核治疗成功后再次复发的44例患者组成复发组,另选同期对照44例未复发的患者组成未复发组,两组患者进行社会适应能力量表评估,比较两组患者的社会适应能力差异。结果 经评估,复发组患者的社会适应能力评分为(32.55±5.61)分,未复发组患者社会适应能力评分为(39.32±6.21)分,两组社会适应能力评分比较,差异有统计学意义(P<0.05)。不同依从性、受教育程度、应对方式下的复治菌阳肺结核治疗成功后再复发患者社会适应能力比较,差异有统计学意义(P<0.05);其他不同特征下再复发患者的社会适应能力比较,差异无统计学意义(P<0.05)。经线性回归分析显示,不同依从性、受教育程度及应对方式是再次复发患者社会适应能力的影响因素(P<0.05)。结论 复治菌阳肺结核治疗成功后再次复发患者社会适应能力偏低,且不同依从性、受教育程度及应对方式均影响再复发患者社会适应能力。Objective To analyze the social adaptability of patients with relapsed pulmonary tuberculosis after successful treatment,and provide basis for improving postoperative nursing measures.Methods A prospective nested case-control study was conducted to select 44 patients who relapsed after successful treatment of retreated bacterial positive pulmonary tuberculosis admitted to the First Affiliated Hospital of Xinxiang Medical College from May 2018 to June 2021 as the relapse group,and another 44 patients who did not relapse as the control group in the same period as the non relapse group.The two groups of patients were evaluated with the social adaptability scale to compare the difference between the two groups of patients in social adaptability.ResultsAfter evaluation,the social adaptability score of patients in the relapse group was(32.55±5.61),and that of patients in the non relapse group was(39.32±6.21).The difference between the two groups was statistically significant(P<0.05).There was a statistical significant difference in the social adaptability of patients with relapsed pulmonary tuberculosis after successful treatment under different compliance,education level and coping style(P<0.05).There was no statistical significant dfference in the social adaptability of patients with relapse under other characteristics(P<0.05).Linear regression analysis showed that different compliance,education level and coping style were the influencing factors of social adaptability of patients with relapse(P<0.05).Conclusion The social adaptability of patients with relapsed pulmonary tuberculosis after successful treatment is low,and different compliance,education level and coping style affect the social adaptability of patients with relapsed pulmonarytuberculosis.

关 键 词：菌阳肺结核 再次复发 社会适应能力 

分 类 号：R521[医药卫生—内科学]