CAJ | 학술논문

目的：探讨集束干预护理对耐多药肺结核患者的影响。方法选取本院2012年9月~2013年9月收治的84例耐多药肺结核患者作为研究对象，采用随机数字表法分为对照组和观察组，各42例。对照组采用常规护理，观察组采用集束干预护理，比较两组的护理效果。结果观察组护理后的SAS与SDS评分显著低于对照组，差异有统计学意义(P<0.05)。观察组护理后的SSRS评分显著高于对照组，差异有统计学意义(P<0.05)。观察组的治疗有效率为90.5%，显著高于对照组的71.4%，差异有统计学意义(P<0.05)。结论集束干预护理在耐多药肺结核临床抗结核治疗中的效果显著，能够改善患者的焦虑、抑郁负面情绪，提高患者在抗结核过程中的社会支持度，有利于提高抗结核疗效，值得临床推广应用。
목적：탐토집속간예호리대내다약폐결핵환자적영향。방법선취본원2012년9월~2013년9월수치적84례내다약폐결핵환자작위연구대상，채용수궤수자표법분위대조조화관찰조，각42례。대조조채용상규호리，관찰조채용집속간예호리，비교량조적호리효과。결과관찰조호리후적SAS여SDS평분현저저우대조조，차이유통계학의의(P<0.05)。관찰조호리후적SSRS평분현저고우대조조，차이유통계학의의(P<0.05)。관찰조적치료유효솔위90.5%，현저고우대조조적71.4%，차이유통계학의의(P<0.05)。결론집속간예호리재내다약폐결핵림상항결핵치료중적효과현저，능구개선환자적초필、억욱부면정서，제고환자재항결핵과정중적사회지지도，유리우제고항결핵료효，치득림상추엄응용。
Objective To explore the influence of cluster nursing intervention on patient with multi-drug resistant tu-berculosis. Methods 84 cases with multi-drug resistant tuberculosis from September 2012 to September 2013 in our hospital were selected and randomly divided into the control group and the observation group,42 cases in each group. The control group was given routine nursing,the observation group was given cluster nursing intervention.The nursing ef-fect in two groups was compared. Results The score of SAS and SDS in the observation group after nursing was lower than that in the control group,with significant difference(P<0.05).The score of SSRS in the observation group after nurs-ing was higher than that in the control group,with significant difference(P<0.05).The total effective rate of the treatment in the observation group was 90.5%,which was higher than 71.4% in the control group,with significant difference (P<0.05). Conclusion The effect of cluster nursing intervention in the treatment of multi-drug resistant tuberculosis is sig-nificant,which can improve negative mood of anxiety and depression,improve the degree of social support in the process of anti-tuberculosis,and improve the effect of anti-tuberculosis treatment,it is worthy of clinical promotion and applica-tion.