对老年肺结核患者实施家属同步健康教育的效果

目的探讨对老年肺结核患者实施家属同步健康教育的效果。方法随机选择2010年6—12月住院老年肺结核患者60例实施家属同步健康教育，采用自身对照法观察其治疗效果，并采用生活质量指数评定量表分别对患者入院及出院时生活质量进行评分并记录。结果实施家属同步健康教育患者治疗效果满意，遵医行为、痰液检查、临床症状明显好转，分别由60．00％、83．33％、40．00％提高到100．00％，差异有统计学意义（x^2分别为30．00，10．91，30．00；P均〈0．01）；胸片吸收好转率由50．00％提高到了95．00％（x^2=30．47，P〈0．01）；患者肝功能正常由66．67％提高到了83．33％（x^2=8．08，P〈0．05）。生活质量除社会功能入院时与出院时差异无统计学意义外，身体功能、角色功能、情绪功能及总体生活质量健康教育前[（1．14±0．22），（1．16±0．27），（1．24±0．30），（3．01±1．04）]与健康教育后[（1．47±0．53），（1．46±0．57），（1．62±0．54），（4．98±1．16）]比较，差异均有统计学意义（t值分别为5．64，4．72，5．91，6．92；P均〈0．01）。结论对老年肺结核患者实施家属同步健康教育可提高家属的照顾水平及配合程度，进而提高临床治愈率和患者生活质量。

Effect of implementating the health education to the families of elderly patients with pulmonary tuberculosis

Objective To study the effect of implementating the health education to the families of elderly patients with pulmonary tuberculosis. Methods Between June 2010 and December 2010, 60 hospitalized elderly tuberculosis patients and their families were randomly selected, and the synchronous implementation of health education was conducted. Quality of life index rating scale was used to investigate patients when they hospitalized and discharged. Results The implementation of health education to patients and families, patients＇ treatment satisfaction, compliance behavior, sputum examination, clinical symptoms were increased from 60.00%, 83.33%, 40.00% to 100.00%, and the differences were statistically significant （x^2 = 30.00, 00.91,30.00;P 〈 0.01 ）. And the .chest X-ray absorption rate was significantly improved from 50.00% to 95.00% （ x^2 = 30.47, P 〈 0.01 ）, and patients with normal liver function was significantly improved from 66.67% to 83.33% （ X^2 = 8.08, P 〈 0. 05 ）. Before health education, average score of patients＇ body function, role function, emotional function, general health education, quality of life respectively were（ 1.14 ±0.22）, （1.16 ±0.27）, （1.24 ±0.30）, （3.01 ±1.04） and （1.47 ±0.53）, （1.46 ±0.57）, （1.62 ±0.54）, （4.98 ± 1.16） after the health education, and the differences were statistically significant （ P 〈 0. 01 ）. Conclusions The implementation of health education to the families of elderly patients with pulmonary tuberculosis can improve the care level of family members, improve the clinical cure rate, and improve patient＇ s quality of life.