自我护理教育对传染性肺结核患者治疗依从性和生活质量的影响

目的 探讨自我护理教育在传染性肺结核患者中的应用及临床效果.方法 将140例传染性肺结核患者随机分为实验组和对照组各70例,对照组患者采用常规的健康教育,实验组由专人负责,进行个体化的、有针对性的自我护理教育,主要包括:肺结核自我疾病的掌握,自我病情的监测,自我坚持完成疗程,自我饮食的管理,自我情绪的调节和控制,自我护理技能的教育.干预时间为3个月,干预后2组均采用肺结核特定知识计分表、治疗依从性调查表和生活质量综合评定问卷(GQOL-74)进行问卷调查,并对结果进行比较.结果 通过自我护理教育后,实验组患者的遵医行为和生活质量明显高于对照组(P<0.01).实验组患者对肺结核知识的掌握情况优于对照组(P<0.01).结论 自我护理教育能有效提高肺结核患者的治疗依从性,从而提高患者的生活质量.

Influence of self nursing education on the therapeutic compliance and life quality of patients with infectious tuberculosis

Objective We discussed the application and clinical effect of serf nursing education in patients with infectious tuberculosis. Methods We divided 140 patients with infectious tuberculosis into the test group and the control group with 70 cases in each group. The control group adopted health education. The test group received individual and selective self nursing education, including serf mastering of tuberculosis, self monitoring of illness, completion of ther therapeutic process by oneself, serf management of diet, self regulation andf control of motion and education of self nursing technique. The intervention continued for 3 months. Pulmonary tuberculosis specific knowledge inventory, therapeutic compliance investigation inventory and general questionnaire on living (GQOL) were adopted in the two groups and the results were compared. Results The therapeutic compliance and life quality of the test group were evidently higher than those of the control group after self nursing education (P<0.01). The mastering of tuberculosis knowledge of the test group was also superior than that of the control group (P<0.01). Conclusions Self nursing education could increase the therapeutic compliance as well as the life quality of patients.