CAJ | 학술논문

目的：探讨临床护理路径在结核性胸膜炎患者药物治疗依从性中的应用效果。方法选择我院2012年2月至2013年3月收治结核性胸膜炎患者80例，随机分为观察组和对照组，每组40例。对照组采用常规护理，观察组采用临床护理路径，比较两组护理效果。结果观察组患者健康知识的优良率、治疗依从性、临床疗效均显著高于对照组，住院时间、住院费用显著少于对照组（ P＜0.05）。观察组患者出院前在精力、疼痛、睡眠、社交活动、躯体活动、情感六个方面的生活质量评分显著高于对照组，差异有统计学意义（P＜0.05）。观察组的护理满意度显著高于对照组，差异有统计学意义（P＜0.05）。结论临床护理路径有利于提高结核性胸膜炎患者药物治疗的依从性，提高患者生活质量。
목적：탐토림상호리로경재결핵성흉막염환자약물치료의종성중적응용효과。방법선택아원2012년2월지2013년3월수치결핵성흉막염환자80례，수궤분위관찰조화대조조，매조40례。대조조채용상규호리，관찰조채용림상호리로경，비교량조호리효과。결과관찰조환자건강지식적우량솔、치료의종성、림상료효균현저고우대조조，주원시간、주원비용현저소우대조조（ P＜0.05）。관찰조환자출원전재정력、동통、수면、사교활동、구체활동、정감륙개방면적생활질량평분현저고우대조조，차이유통계학의의（P＜0.05）。관찰조적호리만의도현저고우대조조，차이유통계학의의（P＜0.05）。결론림상호리로경유리우제고결핵성흉막염환자약물치료적의종성，제고환자생활질량。
Objective To explore the effects of clinical nursing pathway on the medication compliance of patients with tuberculous pleurisy.Methods A total of 80 patients with tuberculous pleurisy in our hospital from 2012 February to 2013 March were randomly divided into the observation group and the control group , 40 cases in each group , the control group received routine nursing care , the observation group used clinical nursing path , the nursing effects were compared between the two groups.Results The excellent and good rate of health knowledge , treatment compliance and clinical efficacy in the observation group were higher than those in the control group , the hospitalization time, the cost of hospitalization were significantly less than those in the control group with statistical significance (P<0.05) .Life quality score in six aspects of energy, pain, sleep, social activities, emotional, physical activity before discharge in the observation group were sig-nificantly lower than those in the control group , with statistical significance ( P<0.05 ) .Nursing satisfaction in the observation group was significantly higher than that in the control group , with statistical significance ( P<0.05 ) .Conclusions Using clinical nursing pathway for nursing intervention can improve the compliance , therapeutic effect and life quality of patients with tuberculous pleurisy .