规范化护理对重症结核患者生存质量影响的研究
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A Study on Effect of Standardized Nursing on Quality of Life in Patients with Severe Tuberculosis
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    摘要:

    目的:探讨规范化护理对重症结核患者生存质量的影响。方法:将纳入的63例重症结核患者随机分为2组,观察组31例,对照组32例,对照组采用常规基础护理,观察组在常规基础护理上按照患者具体病情实施中西医结合规范化护理干预。记录患者的住院时间,并采用自制的护理满意度评价表对2组患者或家属进行调查;采用SF-36量表进行生存质量的评价,观察时间节点为入院时、出院时及随访6个月。结果:观察组的并发症发生率显著低于对照组(P<0.05)。观察组的住院时间低于对照组(P<0.01),而满意度则高于对照组(P<0.01)。2组出院时的生理机能(PF)、生理职能(RP)、一般健康状况(GH)、精力(VT) 以及精神健康(MH) 评分均较入院时明显升高(P<0.05),2组随访6个月的PF、RP、GH、VT、社会功能(SF)、情感职能(RE)、MH 均较入院时明显升高(P<0.05);观察组出院时的RP、GH 评分明显高于对照组(P<0.05),随访6 个月的PF、RP、GH、MH高于对照组(P<0.05)。结论:中西医结合规范化护理方案,能有效改善重症结核患者的生存质量,提高临床疗效,使重症结核患者获得更快更好的康复。

    Abstract:

    Abstract:Objective:To discuss the effect of standardized nursing on quality of life in patients with severe tuberculosis. Methods:A total of 63 cases of patients with severe tuberculosis were randomly divided into the observation group and the control group, 31 and 32 cases in each group respectively. Both groups were given routine basic nursing, and the observation group was additionally given standardized nursing intervention of integrated Chinese and western medicine therapy according to patients' specific condition. The hospitalization time was recorded.The self- made nursing satisfaction evaluation table was applied to investigate the two groups of patients or their families,and SF-36 scale was used to evaluate their quality of life. The observation time nodes were admission, discharge and follow- up for six months. Results: The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05). The hospitalization time in the observation group was lower than that in the control group(P<0.01),and the nursing satisfaction was higher(P<0.01). When discharge,the scores of physiological function(PF),role physical(RP),global health(GH),vitality (VT) and mental health(MH) in the two groups were significantly increased when compared with those during admission(P< 0.05);after follow-up for six months,the scores of PF,RP,GH,VT,society function(SF),emotional effect(RE) and MH in the two groups were increased when compared with those during admission(P<0.05);when discharge,the scores of RP and GH in the observation group were higher than those in the control group(P<0.05);after follow-up for six months,the scores of PF, RP, GH and MH were higher than those in the control group(P<0.05). Conclusion: Standardized nursing intervention of integrated Chinese and western medicine therapy can effectively improve quality of life and clinical effect of patients with severe tuberculosis,and provide them with better and faster recovery.

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李珍,章琳,章建,宋丽君,陈雅茹,吴登助.规范化护理对重症结核患者生存质量影响的研究[J].新中医,2020,52(9):175-177

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  • 在线发布日期: 2020-05-09
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