综合护理干预对肺结核患者药物治疗依从性的影响

目的探讨护理干预对肺结核患者药物治疗依从性的影响。方法选取2009年7月～2011年10月河北省张家口市肺科医院收治的96例肺结核患者为研究对象，将其随机分为观察组和对照组，每组各48例。对照组在抗结核治疗基础上给予常规护理治疗，观察组在对照组基础上同时给予个体化全程健康教育护理干预，出院后对所有患者进行随访，比较两组患者的治疗依从性和临床效果。结果经过护理干预后，观察组患者中完全依从、部分依从及不依从者分别为30例（62．5％），17例（35．4％）和1例（2．08％）优于对照组[25例（52．1％），20例（41．7％），3例（6．25％）]，差异均有统计学意义（P〈0．05）；观察组治愈率为91．67％，高于对照组（72．92％），差异有统计学意义（P〈0．05）；观察组复发率为10．41％，低于对照组（20．83％），差异有统计学意义（P〈0．05）。结论护理干预可有效提高出院肺结核患者的依从性，对提高肺结核患者的治愈率有着十分重要的意义。

Influence of comprehensive nursing intervention on medication compli- ance in patients with pulmonary tuberculosis

Objective To evaluate the influence of nursing intervention on medication compliance in patients with pulmonary tuberculosis. Methods 96 cases from July 2009 to October 2011 in Pulmonary Hospital of Zhangjiakou City in Hebei Province were selected as the study subjects and divided into two groups, including observation group and control group, with 48 cases in each group. In the control group, the patients were given routine care treatment on the basis of anti-TB treatment, in the control group, the patients were given individualized care throughout the health education intervention on the basis of the treatment of control group. All patients were followed after discharge. The treatment adherence and clinical outcomes was compared between two groups. Results After nursing intervention, complete compliance, partial compliance and non-compliance of observation group were 30 cases（62.5%）, 17 cases （35.4%） and 1 case （2.08%）; complete compliance, partial compliance and non-compliance of control group were 25 cases （52.1%）, 20 cases （41.7%） and 3 cases （6.25%）, conduct compliance of observation group were better than that of control group, the differences were statistically significant （P 〈 0.05）. The cure rate of observation group and control group were 91.67% and 72.92% respectively, the difference was statistically significant （P 〈 0.05）. The recurrence rate of observation group and control group were 10.41% and 20.83% respectively, the difference was statistically significant （P 〈 0.05）. Con- clusion Nursing intervention can improve patient compliance tuberculosis hospital, to improve the cure rate of TB pa- tients has very important significance.