艾滋病合并结核病病人提高治疗依从性干预效果研究.docVIP

艾滋病合并结核病病人提高治疗依从性干预效果研究 　　[摘要] 目的 探讨提高艾滋病合并结核病（TB/HIV）患者治疗依从性干预的效果。方法 整群选取2010年1月―2015年1月，该院收治的TB/HIV患者76例，随机分为观察组与对照组，38例每组。对照组实施常规护理，观察组在对照组的基础上实施治疗依从性干预措施，对比两组的干预效果。结果 观察组的治疗总有效率达81.58%，显著高于对照组的63.16%，差异有统计学意义（P0.05）；观察组的复诊及用药依从性分别为100.00%、97.37%，显著高于对照组的88.24%、76.32%，差异有统计学意义（P0.05）；观察组坦然面对率及主动告知率为89.47%、92.11%，显著高于对照组的60.53%、68.42%，差异有统计学意义（P0.05），而抵触与紧张恐惧发生率为2.63%、21.05%，显著低于对照组的13.16%、42.11%，差异有统计学意义（P0.05）。 结论 综合干预能够提高TB/HIV患者的药物不良反应耐受性、治疗检查依从性，从而提高疗程完成率，改善临床疗效值得推广应用。 　　[关键词] 艾滋病；结核病；依从性；干预 　　[中图分类号] R512.91 [文献标识码] A [文章编号] 1674-0742（2015）09（a）-0021-03 　　Study on the Effect of Intervention to Improve Treatment Compliance of AIDS Patients Complicated with Tuberculosis 　　SHENG Xiao-qin ， ZHANG Zheng-juan， ZHANG Lin 　　Lanzhou pulmonary hospital ， Lanzhou， Gansu Province， 30046 China 　　[Abstract] Objective To explore the improvement of AIDS patients complicated with tuberculosis （TB/HIV） patients treatment compliance of intervention effect. Methods From January 2010 to January 2015， 76 patients with TB/HIV admitted to the hospital patients， randomly divided into observation group and control group， 38 cases in each group. The control group received the routine nursing， the observation group in the control group on the implementation of treatment compliance of the intervention， the intervention effects were compared between the two groups. Results The total effective rate of observation group treatment was 81.58%， which was higher than that in the control group the 63.16% （P0.05）； observation group visits and medication compliance were 100.00% and 97.37%， significantly higher than that of the control group of 88.24% and 76.32% （P0.05）； observation group calm in the face of rate and take the initiative to inform the rate was 89.47%， 92.11%， significantly higher than the control group 60.53%， 68.42% （P0.05）， incompatible and nervous fear incidence was 2.63%， 21.05%） was significantly lower than that in the control group of 13.16%， 42.11% （P0.05）. Conclusio