延续性护理干预对提高肺结核患者认知效果影响.docVIP

延续性护理干预对提高肺结核患者认知效果影响 　　[摘要] 目的 探讨延续性护理干预在提高肺结核患者认知中的作用。 方法 选取2015年1月～2016年6月在我院治疗的90例肺结核患者，随机分为实验组和对照组，其中对照组患者行常规护理，实验组患者实施延续性护理干预，观察比较两组患者依从性、知识掌握情况、治疗效果和心理状态差异。 结果 实验组加强营养（91.11%）、稳定情绪（95.56%）、定期复查（93.33%）、遵医嘱服药（97.78%）、戒烟戒酒（100.0%）、规律作息（93.33%）明显高于对照组，发病原因（95.56%）、正确用药方法（93.33%）、自我保健（97.78%）、临床表现（93.33%）、药物不良反应（88.89%）较对照组明显提高（P0.05）。实验组治愈率（95.56%）、复发率（4.44%）较对照组显著改善（P0.05）。治疗后实验组SAS（30.53±2.59）分、SDS（29.94±2.43）分较对照组显著下降，差异有统计学意义（P0.05）。 结论 针对肺结核患者应用延续性护理干预可明显提高治疗效果，提高患者认知能力及依从性，改善心理状态，值得推广应用。 　　[关键词] 延续性护理干预；肺结核；认知；依从性 　　[中图分类号] R473 [文献标识码] B [文章编号] 1673-9701（2018）05-0139-03 　　[Abstract] Objective To investigate the effect of continuous nursing intervention on improving the cognition of patients with pulmonary tuberculosis. Methods 90 patients with pulmonary tuberculosis who were treated in our hospital from January 2015 to June 2016 were randomly divided into experimental group and control group， in which the control group received routine nursing intervention and the experimental group received continuous nursing intervention. The differences in patient compliance， knowledge of the situation， the treatment effect and psychological status between two groups were observed and compared. Results The strengthening nutrition （91.11%）， stable emotion（95.56%）， regular review（93.33%）， prescribed medication（97.78%）， quiting smoking and drinking（100.0%） and the regular rest and work（93.33%） in the experimental group was significantly higher than the control group（P0.05）. The cause of the disease（95.56%）， the correct method of medication（93.33%）， self-care （97.78%）， clinical manifestations（93.33%）and adverse drug reactions（88.89%）in the experimental group was significantly higher than that of the control group（P0.05）. The cure rate（95.56%）and the recurrence rate（4.44%） in the experimental group significantly improved compared with that of the control group（P0.05）. The SAS（30.53±2.59）points and SDS（29.94±2.43）points in the experimental group significantly decreased