摘要
[目的]分析肺结核合并糖尿病病人正念水平与自我感受负担及预后的关系。[方法]应用方便抽样方法随访190例肺结核合并糖尿病病人,采用正念注意觉知量表、用药依从性量表和营养风险筛查量表及自我感受负担量表对病人进行评价,并结合病灶情况、血糖控制情况等,采用Logistic回归分析、Pearson相关分析分析肺结核合并糖尿病病人正念水平与自我感受负担及预后的关系。[结果]正念水平高的病人结核病灶控制总有效率为84.8%,血糖控制达标率为93.5%,显著高于正念水平低的病人(60.2%和67.3%);Logistic回归分析显示,高水平正念是肺结核合并糖尿病病人治疗效果的保护因素,OR值为0.69。Pearson相关分析显示,病人正念水平与自我感受负担呈负相关(r=-0.678,P<0.01)。[结论]肺结核合并糖尿病病人正念水平越高自我感受负担越轻,有利于改善肺结核合并糖尿病病人的预后。
Objective： To analyze the relationship between mindfulness level,self perceived burden and prognosis in patients with pulmonary tuberculosis complicated with diabetes. Methods： A total of 190 cases of patients with pulmonary tuberculosis complicated with diabetes were followed up by using the convenience sampling method. The Mindfulness Attention Awareness Scale, Medication Adherence Scale and Nutritional Risk Screening Scale and Self Perceived Burden Scale were used to evaluate the patients. Combined with the lesion condition and blood sugar control, Logistic regression analysis and Pearson correlation analysis were used to analyze the relationship between mindfulness level, self perceived burden and prognosis in patients with pulmonary tuberculosis complicated with diabetes. Results：The total efficiency of TB lesions control in patients with high mindfulness level was 84.8%. Blood glucose control compliance rate was 93.5 % ,and that of patients with high mindfulness level was significantly higher than that of patients with low mindfulness（60.2% and 67.3%）. Logistic regression analysis showed that high mindfulness level was the protective factor in patients with pulmonary tuberculosis complicated with diabetes. OR value was 0.69. Pearson correlation analysis showed that patients＇ mindfulness was negatively correlated with their self perceived burden （r=-0. 678,P〈0.01）. Conclusion： The higher mindfulness level was ,the lighter self perceived burden was. It was beneficial to improve the prognosis of patients with pulmonary tuberculosis complicated with diabetes mellitus.
出处
《护理研究（中旬版）》
2016年第1期154-157,共4页
Chinese Nursing Researsh
基金
河北省2014年度医学科学研究重点课题
编号:ZD20140500
关键词
肺结核
糖尿病
正念
自我感觉负担
pulmonary tuberculosis
diabetes
mindfulness
self perceived burden
