全程优质护理模式对耐多药结核病患者负性情绪及生活质量的影响
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摘要
目的探究全程优质护理模式对耐多药结核病(MDR-TB)患者负性情绪及生活质量的影响。方法选取我院2016年8月至2017年8月间诊断为MDR-TB的110例患者为研究对象,采用随机数字法将其分为对照组和观察组,各55例。对照组患者采用常规护理模式,观察组患者采用全程优质护理模式。比较两组患者护理效果,包括服药依从性、负性情绪及生活质量等。结果护理3个月后,观察组患者的服药总依从率(90.91%)显著高于对照组(72.73%)(P<0.05);两组患者的负性情绪和睡眠质量评分均降低,且观察组显著低于对照组(P<0.05);两组患者的GQOLI-74各维度评分均升高,且观察组高于对照组(P<0.05)。结论全程优质护理模式可提高MDR-TB患者的用药依从性,在降低患者负性情绪的基础上,提高其睡眠和生活质量,临床应用价值高。
Objective To investigate the effects of entire process model of quality nursing on negative emotions and quality of life of patients with multidrug-resistant tuberculosis(MDR-TB). Methods A total of 110 patients with MDRTB diagnosed in our hospital from August 2016 to August 2017 were selected as the study objects and divided into control group and observation group by random number method, with 55 cases in each group. The control group were treated with routine nursing, while the observation group were treated with entire process model of quality nursing. The nursing effects of the two groups were compared, including medication compliance, negative emotions and quality of life.Results After 3 months of nursing, the total compliance rate of taking medicine of the observation group(90.91%) was significantly higher than that of the control group(72.73%)(P<0.05); the scores of negative emotion and sleep quality decreased in both groups, and those in the observation group were significantly lower than the control group(P<0.05); the GQOLI-74 scores of the two groups increased in all dimensions, and those in the observation group were higher than the control group(P<0.05). Conclusion The entire process model of quality nursing can improve the medication compliance and quality of sleep and life on the basis of reducing the negative emotions of MDR-TB patients, which has high clinical application value.
Objective To investigate the effects of entire process model of quality nursing on negative emotions and quality of life of patients with multidrug-resistant tuberculosis(MDR-TB). Methods A total of 110 patients with MDRTB diagnosed in our hospital from August 2016 to August 2017 were selected as the study objects and divided into control group and observation group by random number method, with 55 cases in each group. The control group were treated with routine nursing, while the observation group were treated with entire process model of quality nursing. The nursing effects of the two groups were compared, including medication compliance, negative emotions and quality of life.Results After 3 months of nursing, the total compliance rate of taking medicine of the observation group(90.91%) was significantly higher than that of the control group(72.73%)(P<0.05); the scores of negative emotion and sleep quality decreased in both groups, and those in the observation group were significantly lower than the control group(P<0.05); the GQOLI-74 scores of the two groups increased in all dimensions, and those in the observation group were higher than the control group(P<0.05). Conclusion The entire process model of quality nursing can improve the medication compliance and quality of sleep and life on the basis of reducing the negative emotions of MDR-TB patients, which has high clinical application value.
引文
[1]成诗明.我国耐多药结核病防治现状与建议[J].中国热带医学,2017,17(3):213-215.
[2]刘颖绘,方越,刘凡平.药物联合心理治疗对耐多药肺结核患者精神状况和生活质量的影响[J].医药导报,2017,36(1):51-53.
[3]王荣欣.全程优质护理模式在脑部肿瘤立体定向放射治疗中的应用效果[J].中国临床神经外科杂志,2018,23(2):129-131.
[4]徐晓霞,侯爱辉,于芝.口腔颌面外科手术患者行全程优质护理模式对临床疗效和负性情绪的影响性探究[J].世界中医药,2017(1):217-218.
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[9]马丙乾.70例耐多药肺结核患者治疗转归及疗效分析[J].中国防痨杂志,2016,38(5):411-414.
[10]宋丽君,章琳,郑静.耐多药肺结核及其患者治疗依从性的护理措施研究进展[J].中国防痨杂志,2018(1):111-113.
[11]问进盈.肺结核的发病现状及有效预防控制策略探讨[J].临床医学研究与实践,2017,2(6):135-136.
[12]刘思婷.全程优质护理应用于宫颈癌患者护理中的临床效果[J].临床医学研究与实践,2017,2(16):183-184.
[13]周雪艳,陈向军,张亚超,等.心理干预对骨结核患者焦虑抑郁情绪、护理满意度及生活质量的影响[J].国际精神病学杂志,2017(2):382-384.
[14]张明霞,代友超.耐多药结核病检测技术研究进展[J].中国热带医学,2017,17(3):312-316.
[2]刘颖绘,方越,刘凡平.药物联合心理治疗对耐多药肺结核患者精神状况和生活质量的影响[J].医药导报,2017,36(1):51-53.
[3]王荣欣.全程优质护理模式在脑部肿瘤立体定向放射治疗中的应用效果[J].中国临床神经外科杂志,2018,23(2):129-131.
[4]徐晓霞,侯爱辉,于芝.口腔颌面外科手术患者行全程优质护理模式对临床疗效和负性情绪的影响性探究[J].世界中医药,2017(1):217-218.
[5]王宇,王黎霞,许绍发,等.耐多药肺结核防治管理工作方案[M].北京:军事医学科学出版社,2012.
[6]郑泓,李玲艳,李诗晨,等.中文版正性负性情绪量表在乳腺癌患者中的信度和效度[J].中国临床心理学杂志,2016,24(4):671-674.
[7]路桃影,李艳,夏萍,等.匹兹堡睡眠质量指数的信度及效度分析[J].重庆医学,2014,43(3):260-263.
[8]张丽.综合护理干预在耐多药肺结核病患者中的应用[J].中国乡村医药,2016,23(8):91-92.
[9]马丙乾.70例耐多药肺结核患者治疗转归及疗效分析[J].中国防痨杂志,2016,38(5):411-414.
[10]宋丽君,章琳,郑静.耐多药肺结核及其患者治疗依从性的护理措施研究进展[J].中国防痨杂志,2018(1):111-113.
[11]问进盈.肺结核的发病现状及有效预防控制策略探讨[J].临床医学研究与实践,2017,2(6):135-136.
[12]刘思婷.全程优质护理应用于宫颈癌患者护理中的临床效果[J].临床医学研究与实践,2017,2(16):183-184.
[13]周雪艳,陈向军,张亚超,等.心理干预对骨结核患者焦虑抑郁情绪、护理满意度及生活质量的影响[J].国际精神病学杂志,2017(2):382-384.
[14]张明霞,代友超.耐多药结核病检测技术研究进展[J].中国热带医学,2017,17(3):312-316.
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