中国处方药
中國處方藥
중국처방약
CHINA PRESCRIPTION DRUG
2014年
5期
119-120
,共2页
社区%综合管理%肺结核患者%治疗
社區%綜閤管理%肺結覈患者%治療
사구%종합관리%폐결핵환자%치료
Community%Comprehensive management%Pulmonary tuberculosis patients%Treatment
目的：探讨社区综合管理对肺结核患者治疗的效果影响。方法将结核病防治机构确诊并下放到社区管理的肺结核88例患者进行分组，分为接受社区综合管理组（干预组）56例和不接受社区综合管理组（对照组）32例，干预组除接受结核病防治机构抗结核治疗外，还接受社区综合管理（在医生护士及家庭成员面视下服药、接受专职医生和全科护士面对面上门随访至少4次、接受专职医生和全科护士对患者及家属进行有关结核病防治知识的健康教育至少1次以上）；对照组只接受结核病防治机构的抗结核治疗。结果经过社区管理综合管理及治疗6个月后，干预组治愈率达96.4%，对照组为78.1%。干预组治愈率明显高于对照组，差异具有统计学意义（P＜0.05）。结论社区综合管理可有效提高肺结核病患者治疗的依从性，提高患者的治愈率。
目的：探討社區綜閤管理對肺結覈患者治療的效果影響。方法將結覈病防治機構確診併下放到社區管理的肺結覈88例患者進行分組，分為接受社區綜閤管理組（榦預組）56例和不接受社區綜閤管理組（對照組）32例，榦預組除接受結覈病防治機構抗結覈治療外，還接受社區綜閤管理（在醫生護士及傢庭成員麵視下服藥、接受專職醫生和全科護士麵對麵上門隨訪至少4次、接受專職醫生和全科護士對患者及傢屬進行有關結覈病防治知識的健康教育至少1次以上）；對照組隻接受結覈病防治機構的抗結覈治療。結果經過社區管理綜閤管理及治療6箇月後，榦預組治愈率達96.4%，對照組為78.1%。榦預組治愈率明顯高于對照組，差異具有統計學意義（P＜0.05）。結論社區綜閤管理可有效提高肺結覈病患者治療的依從性，提高患者的治愈率。
목적：탐토사구종합관리대폐결핵환자치료적효과영향。방법장결핵병방치궤구학진병하방도사구관리적폐결핵88례환자진행분조，분위접수사구종합관리조（간예조）56례화불접수사구종합관리조（대조조）32례，간예조제접수결핵병방치궤구항결핵치료외，환접수사구종합관리（재의생호사급가정성원면시하복약、접수전직의생화전과호사면대면상문수방지소4차、접수전직의생화전과호사대환자급가속진행유관결핵병방치지식적건강교육지소1차이상）；대조조지접수결핵병방치궤구적항결핵치료。결과경과사구관리종합관리급치료6개월후，간예조치유솔체96.4%，대조조위78.1%。간예조치유솔명현고우대조조，차이구유통계학의의（P＜0.05）。결론사구종합관리가유효제고폐결핵병환자치료적의종성，제고환자적치유솔。
Objective To explore the effect of comprehensive management of community on the treatment of pulmonary tuberculosis.Methods Pulmonary tuberculosis patients were distributed into two groups, getting the community management group(i.e. intervention group)with 56 cases, and without getting the community management group(control group)with 32 cases. In addition to getting the anti-tuberculosis treatment of TB Prevention And Control Institution, the intervention group also got comprehensive management of community(i.e. taking medicine under the observation of doctors, nurses and family members, accepting full-time doctor and nurse face-to-face visit at least 4 times;Accepting the professional health education on the knowledge of TB prevention and cure for patients and their families at least more than once). While the control group only got anti-tuberculosis treatment of TB Prevention And Control Institution.Results After 6 months of community comprehensive management and treatment, the cure rate of intervention group was 96.4%, while control group was 78.1%. The cure rate of intervention group was significantly higher than the control group. The difference was statistically significant(P<0.05). Conclusion The community comprehensive management can effectively improve the treatment compliance of pulmonary tuberculosis patients, improve the cure rate of the patients.
