护理干预对提高耐多药肺结核患者生活质量的效果研究

目的：对耐多药肺结核患者生活质量影响因素及护理干预效果作进一步的研究,为耐多药结合患者的护理提以及生活质量的提高提供参考依据。方法回顾与分析该院收治的90位耐多药肺结核患者的临床资料,通过生活评价量表对两组的生活质量进行评价,主要内容包含社会功能、情绪、主观健康、心理健康以及身体机能等,分析影响患者生活质量的因素以及护理干预的效果。结果护理干预前观察组社会功能、情绪、健康、心理健康以及身体机能分别为（40.00±20.51）、（19.07±22.33）、（17.23±15.86）、（48.11±16.03）以及（52.02±15.33）。护理干预后,观察组患者在生活质量以及护理效果方面,与护理干预前相比较差异有统计学意义（P＜0.05）。护理干预后,在社会功能、情绪、健康、心理健康以及身体机能方面,观察组明显优于对照组,差异有统计学意义（P＜0.05）。结论与健康者相比较,在生活质量方面,耐多药肺结核患者明显下降,在对耐多药肺结核患者采取心理护理、依从性护理以及健康教育等护理干预措施以后,能明显提升患者的生活质量,具有临床应用价值。

Study on the Effect of Nursing Intervention on Improving the Quality of Life of Patients with Multi-drug Resistant Pulmonary Tuberculosis

Objective To further study the factors affecting the quality of life of patients with multi-drug resistant pulmonary tu-berculosis and the effect of nursing intervention so as to provide a reference for the nursing of the patients and improving their quality of life. Methods The clinical data of 90 cases of patients with multi-drug resistant pulmonary tuberculosis admitted from August, 2011 to August, 2013 were reviewed and analyzed. Life assessment scale was used to evaluate the quality of life of the two groups, mainly including social function, emotion, subjective health, mental health and physical function and so on. The factors af-fecting the quality of life of the patients and the effect of nursing were analyzed. Results Before the nursing intervention, the social function, emotion, health, mental health and physical function of the observation group were 40.00 ± 20.51, 19.07 ± 22.33, 17.23 ± 15.86, 48.11 ± 16.03 and 52.02 ± 15.33, respectively. The quality of life and the effect of nursing of the observation group after the nursing intervention compared with those before the nursing intervention, the differences were statistically significant, P〈0.05. The social function, emotion, health, mental health and physical function of the observation group were much better than those of the control group after the nursing intervention, the differences were statistically significant, P〈0.05. Conclusion Compared with the healthy subjects, the quality of life of multi-drug resistant pulmonary tuberculosis patients declines significantly. Psychological care, compliance of nursing, healthy education and other nursing intervention measures given to the patients with multi-drug resis-tant pulmonary tuberculosis can significantly improve the quality of life of the patients with a clinical application value.