CAJ | 학술논문

目的：探讨循环护理干预措施对流动性肺结核干预效果及患者依从性的影响。方法选择2012年1月~2014年1月西安市结核病胸部肿瘤医院收治的250例肺结核患者，按随机数字表法将其分为观察组(125例)与对照组(125例)。观察组予以循环护理干预，对照组予以常规护理干预。记录并比较两组患者自我护理能力、胸片肺部病灶状况、依从性行为。结果观察组与对照组护理干预后自我护理技能、自我责任感、健康知识水平以及自我概念等自我护理能力较护理前明显提高，差异有统计学意义(P<0.05)，且观察组提高程度大于对照组，差异有统计学意义(P<0.05)。观察组患者钙纤维化与吸收好转的比例显著高于对照组，差异有统计学意义(P<0.05)，浸润扩散的比例显著低于对照组，差异有统计学意义(P<0.05)。护理干预后，观察组按时服药、定期复查、合理膳食、劳逸结合、消毒隔离、保持情绪乐观等行为的依从率均高于对照组，差异有统计学意义(P<0.05)。结论循环护理干预措施可提高流动性肺结核患者的自我护理技能与依从性，改善治疗效果，值得在临床上予以推广。
목적：탐토순배호리간예조시대류동성폐결핵간예효과급환자의종성적영향。방법선택2012년1월~2014년1월서안시결핵병흉부종류의원수치적250례폐결핵환자，안수궤수자표법장기분위관찰조(125례)여대조조(125례)。관찰조여이순배호리간예，대조조여이상규호리간예。기록병비교량조환자자아호리능력、흉편폐부병조상황、의종성행위。결과관찰조여대조조호리간예후자아호리기능、자아책임감、건강지식수평이급자아개념등자아호리능력교호리전명현제고，차이유통계학의의(P<0.05)，차관찰조제고정도대우대조조，차이유통계학의의(P<0.05)。관찰조환자개섬유화여흡수호전적비례현저고우대조조，차이유통계학의의(P<0.05)，침윤확산적비례현저저우대조조，차이유통계학의의(P<0.05)。호리간예후，관찰조안시복약、정기복사、합리선식、로일결합、소독격리、보지정서악관등행위적의종솔균고우대조조，차이유통계학의의(P<0.05)。결론순배호리간예조시가제고류동성폐결핵환자적자아호리기능여의종성，개선치료효과，치득재림상상여이추엄。
Objective To investigate the effect of circulating nursing intervention on curative and compliance for flowa-bility pulmonary tuberculosis patients. Methods From January 2012 to January 2014, 250 pulmonary tuberculosis pa-tients admitted to Tuberculosis and Thoracic Tumor Hospital of Xi'an City were randomly divided into observation group (125 cases) and control group (125 cases), observation group was given circulating nursing intervention, control group was given routine nursing intervention. The patient self nursing ability, chest lung lesions situation, compliance behavior of both groups were recorded and compared. Results After nursing, self-care skills, self-responsibility, health knowledge and self-concept of both groups significantly increased, the differences were statistically significant (P <0.05), and the degree of observation group was more increased than control group , the differences were statistically sig-nificant (P < 0.05). The proportion of calcium fibrosis and absorption in observation group were significantly higher than those in control group, the differences were statistically significant (P<0.05), and the proportion of invasive pro-liferation was significantly lower than that in control group, the difference was statistically significant (P< 0.05). The compliance rates of taking medicine on time, regular review, reasonable diet, alternating work with rest, disinfection isolation, maintaining optimism in observation group were higher than those in control group, the differences were sta-tistically significant (P<0.05). Conclusion Circulating nursing interventions can increase self-care skills and compli-ance, and improve outcomes, it is deserved to be promoted in clinical practice.