健康教育对糖尿病合并肺结核患者的依从性和预后的影响.docVIP

健康教育对糖尿病合并肺结核患者的依从性和预后的影响 　　[摘要] 目的 分析健康教育?μ悄虿『喜⒎谓岷嘶颊叩囊来有院驮ず蟮挠跋臁７椒? 选取该院2015年1月―2016年12月收治的232例糖尿病合并肺结核患者，随机将患者分为两组，研究组与对照组各116例，对照组患者均进行常规护理管理，研究组患者入院即刻由责任护士进行系统性评价，并针对患者病情开展“三步走”的系统健康教育，具体“三步走”步骤为：第一步：住院期间护理；第二步：出院时护理；第三步：出院后6个月内的护理，对两组患者进行为期6个月的院后随访，观察治疗性与预后效果。结果 研究组患者依从性好率为77.59%，对照组患者依从性好率为55.17%，两组依从性好率对比差异有统计学意义（χ2=3.94，P0.05），两组患者血糖、症状、X胸片、痰菌阴转率对比差异有统计学意义（P0.05）。 结论 健康教育对糖尿病合并肺结核患者的依从性和预后具有较好的影响效果，开展健康教育后患者的依从性、血糖、症状、X胸片、痰菌阴转率等均有显著改善，临床可普遍推荐应用，以提高此类疾病的临床治疗有效性。 　　[关键词] 健康教育；糖尿病合并肺结核；依从性；预后 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2017）08（b）-0017-02 　　Effect of Health Education on the Compliance and Prognosis of Patients with Diabetes and Pulmonary Tuberculosis 　　ZHU Lin 　　Department of Infection， Jianyang People’s Hospital， Jianyang， Sichuan Province， 641400 China 　　[Abstract] Objective To analyze the effect of health education on the compliance and prognosis of patients with diabetes and pulmonary tuberculosis. Methods 232 cases of patients with diabetes and pulmonary tuberculosis admitted and treated in our hospital from January 2015 to December 2016 were selected and randomly divided into two groups with 116 cases in each， the control group adopted the routine nursing management， while the research group were given the systematic evaluation by the primary nurses after admission immediately， and the “three-step” systematic health education was developed according to the disease conditions， and the specific steps： first step： nursing during hospitalization， second step： nursing after discharge， third step： nursing in 6 months after discharge， and both groups were followed up for six months ，and the treatment and prognosis effect were observed. Results The difference in the compliance rate between the research group and the control group was obvious， （77.59% vs 55.17%）， （χ2=3.94，P0.05）， and the differences in the blood glucose， symptoms， X chest film， sputum negative conversion rate between the two groups were statistically significant（P0.05）. Conc