CAJ | 학술논문

目的探讨全程督导管理应用于肺结核患者的临床效果。方法随机抽取2013年1月至2013年12月医院传染科200例肺结核病人作为研究对象，分为实验组和对照组。对照组采用患者用药自管理，实验组采用护理人员全程督导管理。观察比较两组患者的治疗效果和不良反应发生情况。结果（1）实验组治疗中断率、断药率均显著低于对照组（P＜0.05）。（2）两个月强化治疗期结束时实验组痰抗酸染色转阴率、病灶吸收率显著高于对照组（P＜0.05）。（3）实验组不良反应发生率显著低于对照组（P＜0.05）。结论全程督导管理能有效保证结核治疗的连贯性，提高结核病治愈率。
목적탐토전정독도관리응용우폐결핵환자적림상효과。방법수궤추취2013년1월지2013년12월의원전염과200례폐결핵병인작위연구대상，분위실험조화대조조。대조조채용환자용약자관리，실험조채용호리인원전정독도관리。관찰비교량조환자적치료효과화불량반응발생정황。결과（1）실험조치료중단솔、단약솔균현저저우대조조（P＜0.05）。（2）량개월강화치료기결속시실험조담항산염색전음솔、병조흡수솔현저고우대조조（P＜0.05）。（3）실험조불량반응발생솔현저저우대조조（P＜0.05）。결론전정독도관리능유효보증결핵치료적련관성，제고결핵병치유솔。
Objective Discuss clinical effect of directly observed therapy on patients with tuberculosis. Method 200 patients who had been in the department of infectious disease in our hospital for the treatment of tuberculosis between January 2013 and December 2013 were randomly divided into 2 groups. The treatment group was managed with directly observed therapy by nurses while the control group was managed by the patients themselves. Observe and compare the treatment effect and adverse reaction of the two groups. Results (1)The interruption rate of treatment and medication of treatment group is significantly lower than that of control group (P<0.05).(2)After 2 months' intensive treatment, negative conversion ratio of smear anti-acid staining and lesion absorptivity in treatment group were significantly higher than that of control group (P<0.05).(3)The incidence of adverse reactions in treatment group was lower than e control group (P<0.05) Conclusion Directly observed therapy can ensure the continuity of tuberculosis treatment and improve the recovery rate of tuberculosis.