优质护理服务模式对初治肺结核患者的影响

目的探讨优质护理服务模式指导下护理干预措施对初治肺结核患者的影响。方法本次研究选择的对象共132例．均为2012年1月-2013年1月我院初治肺结核患者，分为干预组和对照组各66例，对照组予内科常规护理，干预组在常规护理的基础上采用优质护理服务模式，实施系统的、精心的护理干预。统计比较两组患者的临床有效率、住院时间及患者满意度；采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评定两组护理前与护理后6个月的心理变化；应用生存质量测评表（QOL—UCC）评价两组患者护理干预前与干预6个月后的生活质量。结果干预组患者临床有效率、住院时间及患者满意度均明显优于对照组（P均〈0．05）；护理干预6个月后，干预组的SAS及SDS评分均明显低于对照组（P均〈0．01）；干预组QOL—UCC评分明显低于对照组（P〈0．05）。结论对初治肺结核患者实施优质护理服务模式，给予系统的、精心的护理干预，可显著提高患者临床治疗的有效率，提升满意度，降低其负性情绪，缩短住院时间，促进患者生活质量的提高，利于病情的控制及康复，值得临床进一步推广使用。

Effect of high quality nursing service mode on primary tuberculosis patients

Objective To discuss the effect of nursing intervention under the guidance of high quality nursing service mode on primary tuberculosis patients. Methods A total of 132 primary tuberculosis patients in our hospital from Jan- uary 2012 to January 2013 were randomly divided into the intervention group applied systematic and careful nursing intervention under the guidance of high quality nursing service mode on the basis of usual care and the control group applied usual internal medicine care by double blind,and each group was 66 cases. The clinical effective rate, hospital stays and satisfaction of patients in two groups were statistically compared. The psychological changes of patients in two groups between before nursing and after 6 months of nursing intervention were evaluated by self-rating anxiety scale （SAS） and self-rating depressive scale （SDS）. The quality of life of patients in two groups between before nursing and after 6 months of nursing were evaluated by quality of life measurement table （QOL-UCC）. Results The clinical effective rate, hospital stays and satisfaction of patients in the intervention group were better than those in the control group（P 〈 0.05）. After 6 months of nursing intervention,the SAS and SDS scores in the intervention group were signif- icantly lower than those in the control group（P 〈 0.01）, and the QOL-UCC score in the intervention group was signifi- cantly lower than that in the control group（P 〈 0.05）. Conclusion Implementing systematic and careful nursing inter- vention under the guidance of high quality nursing service mode on primary tuberculosis patients can increase the clinical treatment effective rate of patients, improve satisfaction, reduce negative emotions, shorter hospital stays, promote the improvement of quality of life in patients, facilitate disease control and rehabilitation,and is worthy of further clinical promotion and application.