PRECEDE模式对改善小儿肺结核治疗依从性及康复效果的应用效果研究  

Study on the Application Effect of PRECEDE Mode on Improving Treatment Compliance and Rehabilitation Effectiveness of Pediatric Pulmonary Tuberculosis

作　　者：蔡春燕 张陆燕 Cai Chunyan;Zhang Luyan(The Third Department of Pediatrics,Yellow River Sanmenxia Hospital,Sanmenxia,Henan,472000,China)

机构地区：[1]黄河三门峡医院儿科三区,河南三门峡472000

出　　处：《黑龙江医学》2025年第9期1027-1029,共3页Heilongjiang Medical Journal

基　　金：河南省医学教育研究项目(Wjlx202102214)。

摘　　要：目的:观察倾向、促成及强化因素(PRECEDE)模式对改善小儿肺结核治疗依从性及康复效果。方法:选取2020年10月—2023年1月黄河三门峡医院收治的124例肺结核患儿作为研究对象,采用电脑随机分组法对入组患儿进行分组,分为对照组(62例)和干预组(62例)。对照组实施常规护理,干预组实施基于PRECEDE模式的临床护理,比较两组患儿的治疗依从性、遵医行为、痰菌转阴情况及康复进程。结果:在不同护理模式下,干预组患儿治疗依从性高于对照组,差异有统计学意义(Z=2.143,P<0.05);干预组患儿按时服药、定期复查及治疗完成率均高于对照组,差异均有统计学意义(χ2=9.517、9.901、11.216,P<0.05);干预组患儿1个月、2个月、3个月后的痰菌转阴率均高于对照组,差异均有统计学意义(χ2=6.430、16.330、18.568,P<0.05);干预组患儿的痰菌转阴时间均值、住院时间均低于对照组,差异均有统计学意义(t=3.375、3.155,P<0.05)。结论:PRECEDE模式下的临床护理能有效改善肺结核患儿的治疗依从性,对促进患儿痰菌转阴率、加快康复进程均有积极意义。Objective:To observe the effect of the PRECEDE mode on improving treatment compliance and rehabilitation effectiveness of pediatric pulmonary tuberculosis.Methods:A total of 124 children with pulmonary tuberculosis admitted to Yellow River Sanmenxia Hospital from October 2020 to January 2023 were selected as the study objects.The enrolled patients were divided into control group(62 cases)and intervention group(62 cases)by computer randomization method.The control group only implemented routine nursing,and the intervention group implemented clinical nursing based on the PRECEDE model.The treatment compliance,medical compliance,the situation of sputum bacteria turning negative and the recovery process were compared.Results:Under different nursing modes,the treatment compliance in the intervention group was higher than that in the control group,and the difference was statistically significant(Z=2.143,P<0.05).The rates of timely medication,regular review and treatment completion in the intervention group were higher than those in the control group,and the differences were statistically significant(χ^(2)=9.517,9.901,11.216;P<0.05).The sputum negative conversion rate of children in the intervention group after 1 month,2 months and 3 months was higher than that of the control group,with statistically significant difference(χ^(2)=6.430,16.330,18.568;P<0.05).The mean time of sputum turning negative and hospital stay in the intervention group were lower than those in the control group,and the differences were statistically significant(t=3.375,3.155;P<0.05).Conclusion:The clinical nursing under the PRECEDE mode can effectively improve the treatment compliance of children with pulmonary tuberculosis,and has positive significance in promoting the negative conversion of sputum bacteria in children and accelerating the recovery process.

关 键 词：肺结核 倾向、强化及促成因素模式 治疗依从性 遵医行为 康复进程 

分 类 号：R521[医药卫生—内科学]