首页|多学科协作预见性护理对耐多药肺结核患者治疗差异性及预后的影响

多学科协作预见性护理对耐多药肺结核患者治疗差异性及预后的影响

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目的 探究多学科协作预见性护理对耐多药肺结核(MDR-PTB)患者治疗差异性及预后的影响.方法 选取2018年9月-2021年9月景德镇第五人民医院收治的72例MDR-PTB患者,按照随机数字表法分为对照组(36例)和观察组(36例),对照组实施常规护理干预,观察组在其基础上应用多学科协作预见性护理干预,比较两组服药依从性、治疗差异性(痰液转阴率、病灶吸收情况)、药物不良反应及预后生存质量[世界卫生组织生活质量测定表简表(WHOQOL-BREF)评分].结果 观察组服药依从优良率高于对照组(P<0.05).观察组痰液转阴率、病灶吸收有效率高于对照组(P<0.05).观察组药物不良反应发生率低于对照组(P<0.05).观察组WHOQOL-BREF评分高于对照组(P<0.05).结论 多学科协作预见性护理可提高MDR-PTB患者的服药依从性,增强其治疗效果,减少药物不良反应,有利于生存质量的改善.
Effect of Multidisciplinary Collaborative Predictive Nursing on Treatment Difference and Prognosis of Patients with Multi-drug Resistant Pulmonary Tuberculosis
Objective To explore the effect of multidisciplinary collaborative predictive nursing on the treatment difference and prognosis of patients with multidrug-resistant pulmonary tuberculosis(MDR-PTB).Methods A total of 72 patients with MDR-PTB admitted to Jingdezhen Fifth People's Hospital from September 2018 to September 2021 were selected and divided into control group(36 patients)and observation group(36 patients)according to the random number table method.The control group was given routine nursing intervention,and the observation group was given multidisciplinary collaborative predictive nursing intervention on the basis of the control group.The medication compliance,treatment difference(sputum negative conversion rate,lesion absorption),adverse drug reactions and prognosis quality of life[World Health Organization Quality of Life-BREF(WHOQOL-BREF)score]were compared between the two groups.Results The excellent and good rate of medication compliance in the observation group was higher than that in the control group(P<0.05).The sputum negative conversion rate and effective rate of lesion absorption in the observation group were higher than those in the control group(P<0.05).The incidence of adverse drug reactions in the observation group was lower than that in the control group(P<0.05).The WHOQOL-BREF score of the observation group was higher than that of the control group(P<0.05).Conclusion Multidisciplinary collaborative predictive nursing can improve the medication compliance of MDR-PTB patients,enhance their therapeutic effect,reduce adverse drug reactions,and improve their quality of life.

Multidrug-resistant pulmonary tuberculosisMultidisciplinary collaborative predictive nursingMedication complianceQuality of life

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景德镇第五人民医院供应室,江西 景德镇 333032

耐多药肺结核 多学科协作预见性护理 服药依从性 生存质量

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(8)
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