摘要
目的分析肺结核并咯血患者接受全程护理模式的临床效果。方法选择我院2018年4月至2019年4月接诊的肺结核并咯血患者92例。根据接诊患者时间先后分为两组,即对照组(n=46)和观察组(n=46)。在相同治疗措施下,对照组根据常规护理方法提供护理服务,观察组在对照组基础上实施全程护理,比较不同护理以后的并发症发生率、护理前后的焦虑和抑郁心理、治疗依从性、生活质量和满意度等。结果观察组(5例,占比为10.87%)的并发症发生率相比对照组(16例,占比为34.78%)更低(P<0.05);护理之前两组患者的HAMA评分和HAMD评分均超过15分,且相互之间差异无统计学意义(P>0.05),护理后两组患者的HAMA评分和HAMD评分均降低,且观察组改善更好(P<0.05);观察组(45例,占比为97.83%)患者的依从性明显高于对照组(38例,占比为82.61%)(P<0.05);护理前,两组患者的生活质量差异无统计学意义(P>0.05),护理后观察组的生活质量改善效果比对照组更好(P<0.05);观察组(45例,占比为97.83%)的护理满意度比对照组(39例,占比为84.78%)更高(P<0.05)。结论为肺结核并咯血患者提供全程护理可有效的降低并发症的发生率,改善患者的焦虑和抑郁情绪,提高患者治疗的依从性,提高患者的生活质量和满意度。
Objective To analyze and observe the clinical effect of pulmonary tuberculosis and hemoptysis patients receiving the comprehensive nursing model.Methods The research activities selected 92 patients with pulmonary tuberculosis and hemoptysis admitted in our hospital from April 2018 to April 2019.The patients were divided into two groups according to the time of admission,and the number of patients in the control group and the observation group were both 46 cases.Under the same treatment measures,the control group provided nursing services according to the routine nursing method,and the observation group implemented the whole course of nursing on the basis of the control group,and compared the incidence of complications after different nursing,anxiety and depression before and after nursing,treatment compliance,and life expectancy.quality and satisfaction,etc.Results The incidence of complications in the observation group(5 cases,accounting for 10.87%)was lower than that in the control group(16 cases,accounting for 34.78%),with statistical difference(P<0.05).Before nursing,the HAMA scores and HAMD scores of the two groups of patients both exceeded 15 points,and there was no significant difference between them(P>0.05).After nursing,the HAMA scores and HAMD scores of the two groups of patients decreased,but the observation group improved better,with statistical difference(P<0.05).The compliance of patients in the observation group(45 cases,accounting for 97.83%)was significantly higher than that in the control group(38 cases,accounting for 82.61%),with statistical(P<0.05).Before nursing,there was no significant difference in the quality of life between the two groups of patients(P>0.05).After nursing,the improvement effect of the quality of life in the observation group was better than that in the control group,with a statistical difference(P<0.05).The nursing satisfaction of the observation group(45 cases,accounting for 97.83%)was higher than that of the control group(39 cases,accounting for 84.78%),with a statistical difference(P<0.05).Conclusion Providing full-course nursing care for patients with pulmonary tuberculosis and hemoptysis can effectively reduce the incidence of complications,improve the anxiety and depression of patients,improve the compliance of patients with treatment,and improve the quality of life and satisfaction of patients.
作者
张馨月
ZHANG Xinyue(Liaoyang Chest Hospital,Liaoyang 111000,China)
出处
《中国医药指南》
2022年第26期9-12,共4页
Guide of China Medicine
关键词
肺结核
咯血
全程护理
焦虑
抑郁
依从性
满意度
生活质量
Pulmonary tuberculosis
Hemoptysis
Full care
Anxiety
Depression
Compliance
Satisfaction
Quality of life
