CAJ | 학술논문

目的探讨护理干预对肺结核患者社会支持、应对方式及服药依从性的影响.方法 90例肺结核患者随机分成观察组(A组)45例,对照组(B组)45例.观察组在常规护理治疗基础上进行心理社会干预及系统的健康教育,对照组仅做常规治疗护理,同时设90名正常人作为正常组(C组),采用社会支持评定量表(SSRS)和简易应对方式问卷(SCSQ)于护理干预前测评A、B、C组,干预4周后再次测评A、B组,并比较A、B组干预前与干预结束后1个月的服药依从性.结果干预前A、B组的SSRS各方面评分及积极应对评分均低于C组,A、B组SSRS和SCSQ评分及服药依从性比较无统计学意义(P＞0.05),干预后比较均有统计学意义(P＜0.01).结论肺结核患者社会支持与应对方式差,护理干预能提高患者社会支持、应对方式与服药依从性,从而提高临床疗效.
목적 탐토호리간예대폐결핵환자사회지지、응대방식급복약의종성적영향.방법 90례폐결핵환자수궤분성관찰조(A조)45례,대조조(B조)45례.관찰조재상규호리치료기출상진행심리사회간예급계통적건강교육,대조조부주상규치료호리,동시설90명정상인작위정상조(C조),채용사회지지평정량표(SSRS)화간역응대방식문권(SCSQ)우호리간예전측평A、B、C조,간예4주후재차측평A、B조,병비교A、B조간예전여간예결속후1개월적복약의종성.결과 간예전A、B조적SSRS각방면평분급적겁응대평분균저우C조,A、B조SSRS화SCSQ평분급복약의종성비교무통계학의의(P＞0.05),간예후비교균유통계학의의(P＜0.01).결론 폐결핵환자사회지지여응대방식차,호리간예능제고환자사회지지、응대방식여복약의종성,종이제고림상료효.
Objective To investigate the influence of nursing intervention on social support, coping style, the compliance with regular treatment of patients with pulmonary tuberculosis (PTB) . Methods Ninty PTBs were randomly divided into group A ( 45 cases) which were received regular nursing plus social support and coping style intervention and system health education, while 45 subjects in group B which were received regular nursing only. The efficacy of intervention was evaluated by social support rating scale (SSRS) and the simple coping style questionnaire (SCSQ) answered by PTB patients before and four weeks after receiving intervention. 90 healthy donors were included as control group. The compliance with regular treatment of the group A and B was compared and analyzed before and one month after intervention. Results PTB patients had lower scores of SSRS and active coping style compared to the healthy donors before intervention. There were no difference in scores of SSRS and SCSQ and the compliance with regular treatment in both group-A and B ( P ＞ 0. 05 ) ,whereas those after four weeks of intervention indicated statistic significance (P＜0.01 ) . Conclusions PTB patients are inferior in social support and coping style. Complete nursing intervention can elevate the social support, active coping style and the compliance with regular treatment.