摘要
目的分析自我护理管理模式运用于流动人口肺结核患者的实际临床效果。方法以该院2017年4月—2018年6月收治的82例流动人口肺结核患者作为此次研究对象,随机分配为观察组和对照组,每组41例患者,对照组患者使用常规护理,观察组患者使用自我护理管理,对比两组患者治疗后健康生活行为实施情况及护理后治疗情况。结果观察组患者护理后健康行为实施改善情况为:遵医行为38例(92.68%),坚持复查40例(97.56%),疾病知晓39例(95.12%),合理用药37例(90.24%),戒烟戒酒25例(60.98%);对照组患者情况分别为:31例(75.61%),30例(73.17%),29例(70.73%),28例(68.29%),13例(31.71%),观察组患者治疗后健康行为实施及改善率相比对照组明显更高,数据差异有统计学意义(P<0.05);观察组患者一年后痰菌转阴33例(80.49%),病灶吸收32例(78.05%),症状改善34例(82.93%);对照组患者1年后痰菌转阴22例(53.66%),病灶吸收23例(56.10%),症状改善25例(60.98%),观察组患者1年后痰菌转阴率、病灶吸收率及症状改善率相比对照组明显更高,数据差异有统计学意义(P<0.05)。结论自我护理管理模式运用于流动人口肺结核患者护理中具有良好临床疗效,能有效帮助患者养成健康生活习惯,促进患者健康恢复,具有较高临床推广意义。
Objective To analyze the actual clinical effect of self-care management mode in patients with tuberculosis in floating population.Methods 82 patients with pulmonary tuberculosis who were admitted to the hospital from April 2017 to June 2018 were randomly assigned to the observation group and the control group.41 patients in each group,the control group was treated with routine nursing.The patients in the observation group used self-care management to compare the implementation of healthy living behaviors after treatment and the post-treatment treatment.Results The improvement of post-nursing health behaviors in the observation group was as follows:38 cases(92.68%)with follow-up behavior,40 cases(97.56%)with re-examination,39 cases(95.12%)with disease,and 37 cases(90.24%)with reasonable medication.Smoking cessation and alcohol withdrawal in 25 cases(60.98%);control group patients were:31 cases(75.61%),30 cases(73.17%),29 cases(70.73%),28 cases(68.29%),13 cases(31.71%);the observation and improvement rate of health behaviors in the observation group were significantly higher than those in the control group,and the difference were statistically significant(P<0.05).The observation group patients turned 33 cases(80.49%)after one year.The lesions were absorbed in 32 cases(78.05%),and the symptoms improved in 34 cases(82.93%).In the control group,22 cases(53.66%)were infected with sputum after one year,23 cases(56.10%)were absorbed,and 25 cases(60.98%)were improved.The observation group showed that the sputum negative rate,lesion absorption rate and symptom improvement rate were significantly higher than that of the control group one year later,and the difference were statistically significant(P<0.05).Conclusion The self-care management model has a good clinical effect in the nursing of patients with tuberculosis in floating population.It can effectively help patients develop healthy living habits and promote the recovery of patients'health.It has a high clinical promotion significance.
作者
叶森
YE Sen(Department of Nursing,Jilin Province Tuberculosis Hospital,Changchun,Jilin Province,130200 China)
出处
《中国卫生产业》
2019年第34期30-31,34,共3页
China Health Industry
关键词
流动人口
自我护理管理
肺结核
Floating population
Self-care management
Tuberculosis
