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整体护理在耐多药结核病护理中的应用效果分析

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目的 分析整体护理在耐多药结核病护理中的应用效果.方法 随机选取2022年8月—2023年12月贵州省黎平县疾病预防控制中心收治的70例耐多药结核病患者为研究对象,根据不同护理方法分为对照组和观察组,各35例.对照组实施常规护理,观察组实施整体护理.对比两组患者的生活质量、痰菌转阴率、情绪症状评分、护理总满意度.结果 护理前,两组患者的生活质量评分对比,差异无统计学意义(P>0.05);护理后,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05).护理后,观察组痰菌转阴率85.71%(30/35)高于对照组的62.86%(22/35),差异有统计学意义(χ2=4.786,P=0.029).护理后,观察组汉密尔顿焦虑量表、汉密尔顿抑郁量表评分均低于对照组,差异有统计学意义(P均<0.05).观察组护理总满意度高于对照组,差异有统计学意义(P<0.05).结论 整体护理可促使耐多药结核病患者痰菌转阴,对患者生活质量及情绪起到改善作用,提高护理满意度.
Application Effect Analysis of Holistic Nursing in Multi-drug Resistant Tuberculosis Care
Objective To analyze the application effect of holistic nursing in the nursing of multidrug-resistant tuber-culosis.Methods A total of 70 patients with multidrug-resistant tuberculosis admitted to Liping County Center for Dis-ease Control and Prevention of Guizhou Province from August 2022 to December 2023 were randomly selected as the research objects.According to different nursing methods,they were divided into control group and observation group,with 35 cases in each group.The control group received routine nursing,and the observation group received holistic nursing.The quality of life,sputum negative conversion rate,emotional symptom score and total nursing satisfaction of the two groups were compared.Results Before nursing,there was no significant difference in the scores of quality of life between the two groups(P>0.05).After nursing,the score of quality of life in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After nursing,the sputum nega-tive conversion rate of the observation group was 85.71%(30/35),which was higher than 62.86%(22/35)of the control group,and the difference was statistically significant(χ2=4.786,P=0.029).After nursing,the Hamilton Anxiety Scale and Hamilton Depression Scale scores of the observation group were lower than those of the control group,and the dif-ferences were statistically significant(both P<0.05).The total nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Holistic nursing can promote the negative conversion of sputum bacteria in patients with multidrug-resistant tuberculosis,improve the quality of life and mood of patients,and improve nursing satisfaction.

Holistic nursingMultidrug-resistant tuberculosisQuality of lifeSputum turns negativeSatisfactionEmotion

吴丕兰

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贵州省黎平县疾病预防控制中心,贵州 黎平 557300

整体护理 耐多药结核病 生活质量 痰菌转阴 满意度 情绪

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(24)