摘要
目的:观察基于行动研究法的倾向、强化及促成因素(PRECEDE)护理模式应用于肺结核患者的临床效果。方法:选取2015—2020年我院收治的确诊肺结核患者156例,按照随机数字表法分为干预组和对照组,每组78例。对照组患者采用PRECEDE护理模式。干预组患者采用基于行动研究法的PRECEDE护理模式。比较两组患者痰菌转阴时间、遵医行为率、疾病知识掌握率、患者满意度。比较两组患者生活质量评分。结果:干预组患者平均痰菌转阴时间早于对照组(P<0.05)。治疗3个月后,干预组患者定期复查、全程用药、规律服药等遵医行为率高于对照组(P<0.05);疾病知识掌握率及患者满意度均高于对照组(P<0.05);社会功能评分、情绪功能评分、躯体功能评分、角色评分均高于对照组(P<0.05)。结论:基于行动研究法的PRECEDE护理模式应用于肺结核患者可以改善患者遵医行为率、疾病知识掌握率及患者满意度,有益于促进患者痰菌转阴,改善患者生活质量。
Objective:To observe the clinical application effect of the predisposing,reinforcing and enabling causes in educational diagnosis and evaluation(PRECEDE)nursing mode based on action research method in patients with pulmonary tuberculosis.Methods:A total of 156 confirmed pulmonary tuberculosis patients admitted in our hospital from 2015 to 2020 were selected and divided into the intervention group and the control group according to the randomized number table method,with 78 cases in each group.The control group was given the PRECEDE nursing mode,and the intervention group was given the PRECEDE model care based on the action research method.The time of sputum bacteria turning negative,the rate of medical compliance,the mastery rate of disease knowledge,and the patient satisfaction rate of the two groups of patients were compared.The quality of life scores were compared between the two groups of patients.Results:The sputum conversion time of patitens in the intervention group was earlier than that in the control group(P<0.05).After 3 months of treatment,the rate of patients in regular review,full medication and regular medication in the intervention group was higher than that of the control group(P<0.05).The disease knowledge mastery rate and satisfaction rate of patients in the intervention group were higher than those of the control group(P<0.05).The social function score,emotional function score,body function score and role score of patients in the intervention group were higher than those of the control group(P<0.05).Conclusion:The PRECEDE nursing mode based on action research method applied to pulmonary tuberculosis patients can improve the medical compliance behavior rate,disease knowledge mastery rate and the satisfaction rate of the patients,which can help sputum conversion and improve the quality of life of the patients.
作者
王蕾
李洁
WANG Lei;LI Jie(Department of Phase I Clinical Trail,Xi′an Chest Hospital,Shaanxi Xi′an 710061,China;Outpatient Department,Xi′an Chest Hospital,Shaanxi Xi′an 710061,China)
出处
《中国医药导刊》
2022年第12期1261-1264,共4页
Chinese Journal of Medicinal Guide
作者简介
王蕾,女,在读硕士研究生,研究方向:临床护理。E-mail:wangl7951@126.com
