双轨道互动干预模式下的院外护理对肺结核患者的影响  

Effect of Out-of-hospital Nursing Care based on the Dual-track Interactive Intervention Model on Patients with Pulmonary Tuberculosis

作　　者：石雪梅 郭桂华 吕诗敏 Shi Xuemei;Guo Guihua;Lv Shimin(Zhuhai Fifth People′s Hospital,Zhuhai Guangdong 519055,China)

机构地区：[1]珠海市第五人民医院,广东珠海519055

出　　处：《齐鲁护理杂志》2024年第21期28-31,共4页Journal of Qilu Nursing

摘　　要：目的:探讨双轨道互动干预模式下的院外护理对肺结核患者的影响。方法:选取2020年7月1日~2023年6月30日88例肺结核居家治疗患者,采用随机数字表法分为常规组和研究组各44例,常规组采用常规护理干预,研究组采用双轨道互动干预模式下的院外护理;比较两组干预6个月后的用药依从性(采用Morisky服药依从性问卷)、护理满意度,干预前及干预6个月后自我管理能力[采用成人健康自我管理能力评价量表(AHSMSRS)]、疾病防治认知水平(采用自制健康问卷调查表)、生活质量[采用世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]。结果:干预6个月后,研究组用药依从性及护理满意度均优于常规组(P<0.05);研究组干预6个月后AHSMSRS、疾病防治认知水平、WHOQOL-BREF评分高于常规组(P<0.01)。结论:双轨道互动干预模式下的院外护理应用于肺结核患者,能够提高用药依从性和自我管理能力,进一步提升其疾病防治知识水平,改善生活质量,且护理满意度较好。Objective:To explore the effect of out-of-hospital nursing care based on the dual-track interactive intervention model on patients with pulmonary tuberculosis.Methods:A total of 88 patients with pulmonary tuberculosis who were treated at home from July 1,2020 to June 30,2023 were selected and divided into the routine group and the study group by the random number table method,with 44 cases in each group.The routine group was given routine nursing care,and the study group was given out-of-hospital nursing intervention based on the dual-track interactive intervention model.The medication compliance(using Morisky Medication Compliance questionnaire)and nursing satisfaction after 6 months of intervention,self-management ability(AHSMSRS),disease prevention cognition level(the self-made health questionnaire),quality of life(WHOQOL-BREF)were compared between the two groups before intervention and after 6 months of intervention.Results:After 6 months of intervention,the medication compliance and nursing satisfaction in the study group were better than those in the routine group(P<0.05).After 6 months of intervention,the AHSMSRS,disease prevention cognition level and WHOQOL-BREF scores of the study group were higher than those of the routine group(P<0.01).Conclusion:The out-of-hospital nursing care based on the dual-track interactive intervention model can improve the medication compliance and self-management ability of patients with pulmonary tuberculosis,further improve their knowledge of disease prevention and treatment,and can improve their quality of life and satisfaction of nursing care.

关 键 词：肺结核 双轨道互动干预模式 院外护理 服药依从性 自我管理能力 生活质量 护理满意度 

分 类 号：R473.5[医药卫生—护理学]