基于时机理论的家庭护理在肺结核患者护理中的应用观察

目的观察基于时机理论的家庭护理在肺结核患者护理中的应用。方法选取我院2017年01月~2017年12月收治的200例肺结核患者为对象,按照入院单双顺序分为对照组(n=100)和观察组(n=100),对照组给予常规护理,观察组给予基于时机理论的家庭护理,比较两组治疗依从率、心理状态汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]及生活质量(SF-36)评分的变化。结果干预后观察组患者治疗依从率为93.0%,显著高于对照组的79.0%(P<0.05);干预后观察组患者HAMA与HAMD评分均显著低于对照组(P<0.05);干预后观察组患者总体健康、生理职能、机体功能、躯体疼痛、活力、社会功能、情感职能、精神健康评分均显著高于对照组(P<0.05);观察组患者1年复发率为8.0%,显著高于对照组的20.0%(P<0.05)。结论基于时机理论的家庭护理可有效提高肺结核患者的治疗依从率和护理质量,降低其不良情绪。

Application of Home Nursing Based on Timing Theory in the Nursing of Patients with Pulmonary Tuberculosis

Objective To observe the application of home nursing based on timing theory in the nursing of patientswith pulmonary tuberculosis.Methods A total of 200 patients with pulmonary tuberculosis admitted to our hospital from January 2017 to December 2017 were selected for the study and were divided into control group(n=100)and observation group(n=100)according to the odd and even admission order.Control group was given routine nursing,and observation group was given home nursing based on timing theory.The treatment compliance rate and psychological statusHamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)]and quality of life(SF-36)score were compared between the two groups.Results After treatment,the treatment compliance rate in observation group was significantly higher than that in control group(93.0%vs 79.0%)(P<0.05).The scores ofHAMA and HAMD in observation group were significantly lower than those in control group(P<0.05).The scores of overall health,physiological function,body function,physical pain,vitality,social function,emotional function and mental health in observation group were significantly higher than those in control group(P<0.05).The 1-year recurrence rate in observation group was significantly higher than that in control group(8.0%vs 20.0%)(P<0.05).Conclusion Home nursing based on timing theory can effectively improve the treatment compliance rate and nursing qualityand reduce the negative emotions of patients with pulmonary tuberculosis.