摘要
目的 分析肺结核患者的心理特点及针对性护理干预降低负性情绪、改善症状的效果。方法 选取2021年2月至2022年2月本院收治的肺结核患者100例作为研究对象,根据不同护理方案将患者分为研究组、对照组,每组50例。对照组接受常规护理干预,研究组在了解患者心理特点基础上给予针对性护理。护理干预8周,比较两组患者负性情绪及症状改善情况。结果 研究组SAS评分(35.2±6.6)分、SDS评分(38.5±5.7)分均低于对照组的(43.9±7.8)分、(45.1±7.2)分,差异有统计学意义(t=6.021,5.082,P<0.05);研究组WHOQOL-BREF各项指标评分均高于对照组(P<0.05);研究组空洞闭合率(76.0%)、病灶吸收率(80.0%)、痰菌转阴率(78.0%)均高于对照组(54.0%、58.0%、56.0%),差异有统计学意义(χ^(2)=5.319,5.657,5.473,P<0.05);研究组用药依从性(98.0%)、护理满意度(98.0%)均高于对照组(84.0%、80.0%),差异有统计学意义(χ^(2)=5.983,8.274,P<0.05)。结论 肺结核患者的主要心理特点包括焦虑、易冲动、孤独、抗药等,对此类患者实施针对性护理干预能缓解负性情绪,提高用药依从性,改善临床症状,提升生活质量。
Objective To analyze the psychological characteristics of pulmonary tuberculosis patients and the effect of targeted nursing intervention on reducing negative emotions and improving symptoms.Methods A total of 100 patients with pulmonary tuberculosis admitted to our hospital from February 2021 to February 2022 were selected as the research objects.According to different nursing schemes,the patients were divided into study group and control group,with 50 cases in each group.The control group received routine nursing intervention,while the study group received targeted nursing on the basis of understanding the psychological characteristics of patients.After 8 weeks of nursing intervention,the negative emotion and symptom improvement of the two groups were compared.Results The SAS score(35.2±6.6)and SDS score(38.5±5.7)of the study group were lower than those of the control group(43.9±7.8)and(45.1±7.2),which were statistically significant(t=6.021,5.082,P<0.05).The scores of WHOQOL-BREF in the study group were higher than those in the control group(P<0.05).The cavity closure rate(76.0%),lesion absorption rate(80.0%),sputum bacteria conversion rate(78.0%)in the study group were higher than those in the control group(54.0%,58.0%,56.0%),which were statistically significant(χ^(2)=5.319,5.657,5.473,P<0.05).The medication compliance(98.0%)and nursing satisfaction(98.0%)of the study group were higher than those of the control group(84.0%)and(80.0%)with statistical significance(χ^(2)=5.983,8.274,P<0.05).Conclusion The main psychological characteristics of pulmonary tuberculosis patients include anxiety,impulsivity,loneliness,drug resistance,etc.targeted nursing intervention can reduce negative emotions,improve medication compliance,effectively improve symptoms and improve quality of life.
作者
余志刚
YU Zhigang(Department of Infectious Diseases,Affiliated Hospital of Putian University,Putian 351100,China)
出处
《中国医药指南》
2023年第14期186-188,F0003,共4页
Guide of China Medicine
关键词
肺结核
针对性护理
负性情绪
心理特点
症状改善
Pulmonary tuberculosis
Targeted nursing
Negative emotion
Psychological characteristics
Symptom improvement
