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肺结核预防控制策略对患者服药依从性的影响

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目的 探讨肺结核预防控制策略的应用效果及对患者服药依从性的影响。方法 选择2020年1月-2023年1月德州市第二人民医院收治的184例肺结核患者。按随机数字表法分为2组。对照组(n=92)给予常规干预,观察组(n=92)在此基础上给予肺结核的预防控制策略。比较2组疾病控制效果、疾病认知度、服药依从性及并发症。结果 干预后,观察组疾病总控制率为93。48%,高于对照组的72。83%,差异有统计学意义(P<0。05);观察组主要症状评分为(18。13±0。54)分、诱发因素评分为(17。24±1。25)分、危害评分为(17。93±1。02)分、对症治疗评分为(18。06±0。87)分、预防控制评分为(17。88±1。03)分及总分为(90。16±4。32)分,均高于对照组的(12。61±0。47)分、(12。24±1。36)分、(12。73±1。63)分、(12。51±0。54)分、(12。37±1。61)分、(74。21±3。43)分,差异有统计学意义(P<0。05);观察组干预后服药依从性评分为(6。93±0。85)分,高于对照组的(6。35±0。81)分,差异有统计学意义(P<0。05);观察组并发症总发生率为5。43%(5/92),低于对照组的17。39%(16/92),差异有统计学意义(P<0。05)。结论 肺结核预防控制策略可有效提升肺结核疾病控制效果,并提高患者疾病认知度及服药依从性,降低并发症发生率。
Effect of Prevention and Control Strategies for Pulmonary Tuberculosis on Patients'Medication Compliance
Objective To explore the application effect of prevention and control strategies for pulmonary tuberculosis and its impact on patient medication compliance.Methods A total of 184 pulmonary tuberculosis patients admitted to Dezhou Second People's Hospital from January 2020 to January 2023 were selected and divided into 2 groups according to random number table method.The control group(n=92)was given routine intervention,while the observation group(n=92)was given tuberculosis prevention and control strategy on this basis.The disease control effect,disease awareness,medication compliance and complications were compared between the two groups.Results After intervention,the total disease control rate of the observation group was 93.48%,higher than 72.83%of the control group,the difference was statistically significant(P<0.05).In the observation group,the main symptom score was(18.13±0.54)points,the inducing factor score was(17.24±1.25)points,the hazard score was(17.93±1.02)points,the symptomatic treatment score was(18.06±0.87)points,the prevention and control score was(17.88±1.03)points and the total score was(90.16±4.32)points,which were higher than(12.61±0.47)points,(12.24±1.36)points,(12.73±1.63)points,(12.51±0.54)points,(12.37±1.61)points,(74.21±3.43)points of control group,and the difference was statistically significant(P<0.05).The score of medication compliance in the observation group after intervention was(6.93±0.85)points,higher than(6.35±0.81)points in the control group,and the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was 5.43%(5/92),lower than 17.39%(16/92)in the control group,the difference was statistically significant(P<0.05).Conclusion The prevention and control strategies for pulmonary tuberculosis can effectively improve the effect of tuberculosis disease control,improve patients'disease awareness and medication compliance,and reduce the incidence of complications.

pulmonary tuberculosisprevention and control strategiesdisease control effectivenessdisease awarenessmedication compliancecomplication

刘正、刘建树、许世阳

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德州市第二人民医院防治科,山东德州 253000

肺结核 预防控制策略 疾病控制效果 疾病认知度 服药依从性 并发症

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(18)