中西医结合延伸性护理措施对肺结核患者治疗效果和生活质量的影响
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R521

基金项目:


Effect of Chinese and Western Medicine Combined with Extended Nursing Measures on Treatment and Quality of Life in Patients with Tuberculosis
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察中西医结合延伸性护理措施对肺结核患者治疗效果和生活质量的影响。方法:将120例初治肺结核患者根据不同护理措施分为观察组64例和对照组56例。2组均给予常规抗痨治疗,并给予宣教、心理护理、建立良好生活习惯的护理措施,出院后以电话、微信平台进行延伸性护理,观察组同时给予中药穴位贴敷(治疗12周) 和饮食指导。2组疗程均为6个月。评价2组患者6个月治疗期间的服药依从性、按时复查依从性和饮食依从性,治疗前后进行症状评估和不良反应评价,应用世界卫生组织生存质量测定量表简表(WHOQOL-BRIEF) 评价生活质量。结果:在6个月治疗期间,观察组的服药依从性、按时复查依从性和饮食依从性均高于对照组(P<0.05,P<0.01)。2 组治疗1~6 个月的肺结核症状评分均较治疗前下降(P<0.01),观察组治疗1~6个月的肺结核症状评分均低于对照组(P<0.01)。观察组治疗1~6个月的不良反应症状评分均低于对照组(P<0.01)。治疗3个月,2组WHOQOL-BRIEF评分均较治疗前下降(P<0.01)。治疗6个月,对照组WHOQOL-BRIEF评分低于治疗前(P<0.01),观察组与治疗前比较,差异无统计学意义(P>0.05)。观察组治疗3个月、6个月的WHOQOL-BRIEF评分均高于对照组(P<0.01)。结论:采用中西医结合延伸性护理措施干预肺结核抗痨治疗患者,可提高患者的服药、复查和饮食依从性,减轻肺结核症状和不良反应,稳定或改善患者的生活质量。

    Abstract:

    Abstract:Objective:To observe the effect of Chinese and western medicine combined with extended nursing measures on treatment and quality of life in patients with tuberculosis. Methods: A total of 120 cases of patients initially treating tuberculosis were divided into the observation group and the control group according to different nursing measures,64 and 56 cases in each group respectively. Both groups were given routine antituberculous therapy and nursing measures including instruction and education, psychological nursing care and establishment of good living habits. After discharge, extended nursing measures were performed by telephone and Wechat,and at the same time,the observation group was given point application by Chinese medicine for 12 weeks and diet guidance. Both groups were treated for six months. During the sixmonth treatment,the compliance of medication,reexamination on time and diet in the two groups was evaluated. Before and after treatment, the symptoms and adverse reactions were evaluated, and the quality of life was assessed by World Health Organization Quality of Life-BREF(WHOQOL-BREF). Results:During the six-month treatment,the compliance of medication,reexamination on time and diet in the observation group was higher than that in the control group(P<0.05,P<0.01). After treatment for one to six months,the symptom scores of tuberculosis in the two groups were decreased when compared with those before treatment(P<0.01),and the score in the observation group was lower than that in the control group(P<0.01). The score of adverse reactions in the observation group was lower than that in the control group(P<0.01).After treatment for three months, the WHOQOL- BREF scores in the two groups were decreased when compared with those before treatment(P<0.01). After treatment for six months,the WHOQOL-BREF score in the control group was lower than that before treatment(P<0.01), and no significant difference was found in the comparison of the score in the observation group before and after treatment(P>0.05). After treatment for three and six months respectively,the WHOQOLBREF scores in the observation group were higher than those in the control group(P<0.01). Conclusion:The intervention of Chinese and western medicine combined with extended nursing measures for patients with tuberculosis undergoing antituberculous therapy can improve their compliance of medication,reexamination and diet,relieve symptoms and adverse reactions and stabilize or improve their quality of life.

    参考文献
    相似文献
    引证文献
引用本文

方丽敏,王金晶,余丹,夏乔.中西医结合延伸性护理措施对肺结核患者治疗效果和生活质量的影响[J].新中医,2020,52(10):143-146

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2020-05-26
  • 出版日期: