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延续护理干预对结核性胸膜炎患者治疗依从性的影响

延续护理干预对结核性胸膜炎患者治疗依从性的影响

 

 

[ 摘要]  目的  了解延续护理干预对结核性胸膜炎患者院外治疗依从性的影响。方法 80例出院结核性胸膜炎患者按出院日期顺序分为干预组和对照组,各40例。两组患者出院时均给予详细的出院指导,出院后对干预组患者实施延续护理干预,6个月后通过自制的问卷对两组患者院外治疗的依从性、对疾病相关知识的掌握情况进行调查。结果 干预组患者院外治疗的依从性、对疾病相关知识掌握的优良率明显高于对照组。结论 延续护理干预能显著提高结核性胸膜炎患者院外治疗的依从性和对疾病知识的掌握,提高治愈率,值得在临床推广。

[关键词]  延续护理 ; 结核性胸膜炎 ;治疗依从性

Influence of Continuing Care Intervention on Treatment Compliance of Patients with Tuberculous Pleurisy

 

   [Abstract]  Objective: To understand the influence of continuing care intervention on treatment compliance outside hospital of patients with tuberculous pleurisy. Method: 80 patients with tuberculous pleurisy were divided into into intervention group and control group, each 40 cases, according to the discharge order. Both groups of patients were given detailed discharge guidance. Intervention group of patients was treated with continuing care intervention. 6 months later, both groups of patients were investigated with self-designed questionnaires, about treatment compliance outside hospital and mastery of disease-related knowledge. Result: Treatment compliance outside hospital and mastery of disease-related knowledge of patients in intervention group were significantly higher than those in control group. Conclusion: Continuing care intervention can significantly improve the treatment compliance outside hospital and mastery of disease-related knowledge of patients with tuberculous pleurisy, and can improve cure rate. It deserves the clinical expansion.

    [Key Words]  Continuing Care;  Tuberculous Pleurisy; Treatment Compliance

 

    结核性胸膜炎是由于结核杆菌直接感染及胸膜对结核杆菌感染产生高度变态反应而发生炎症,为最常见的一种胸膜炎症性疾病,其临床表现为胸膜腔积液[1]。临床上多采用及时胸腔穿刺抽液,同时口服抗结核药物治疗半年至一年左右。患者出院后,其治疗措施必须由患者自己实施,因此需要患者具有良好的治疗依从性,方能顺利完成治疗,提高治愈率。我们对出院后的结核性胸膜炎患者实施延续护理干预,能显著提高结核性胸膜炎患者院外治疗的依从性。现报告如下。

1 对象与方法


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