护理干预应用于肺结核患者对其服药依从性的影响

王小平

（西安市胸科医院，陕西 西安，710061）

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摘要：

目的 探讨护理干预对肺结核患者服药依存性的影响。方法 收集我院2014年4月至2016年7月收治的肺结核患者150例作为研究对象，按照随机数字表法分为观察组和对照组，每组75例，对照组采用一般常规护理，观察组在此基础上给予护理干预，比较两组患者的服药依存性及未按时服药的原因。结果 观察组患者中，服药完全依从70例，占93.33%，对照组患者中服药完全依从60例，占80.00%，两组完全依从率差异具有统计学意义（P<0.05）；观察组服药总依从率为98.67%，高于对照组的86.67%（P<0.05）；150例患者漏服药未服药的因素中，患者对疾病相关知识不了解，不知按时服药的重要性，造成漏服11例，不按时服药率为7.33%，担心药物副作用大，不愿服药6例，不按时服药率为4.00%，家庭经济条件差未服药1例，不按时服药率为0.67%。结论 护理干预能提高肺结核患者服药的依存性，提高肺结核患者的治愈率，提高患者生活质量。

关键词：肺结核；护理干预；服药依从性

中图分类号：R473.5文献标志码：A文章编号：2096-1413(2017)11-0153-02

The effect of nursing intervention on medication compliance in the treatment of patients with pulmonary tuberculosis
WANG Xiao-ping
(the Chest Hospital of Xi'an, Xi'an 710061, China)

ABSTRACT: Objective To discuss the effect of nursing intervention on medication compliance in the treatment of patients with pulmonary tuberculosis. Methods A total of 150 cases of patients with pulmonary tuberculosis admitted in our hospital from April 2014 to July 2016 were randomly divided into observation group and control group, with 75 cases in each group. Patients in the control group were given traditional nursing, while patients in the observation group were given traditional nursing and nursing intervention, and the medicine compliance and the causes of no medicine taking were compared. Results Among 75 patients in the observation group, 70 patients could take medicine on time (93.33%), while 60 patients in the control group (80.00%), there was statistically significant difference between the two groups (P<0.05); the medication total adherence rate of the observation group (98.67%) was higher than that of the control group (86.67%) (P <0.05).Ignorance of the related knowledge of the disease and importance of taking medicine were the causes of no medicine taking, which resulted in 11 cases of missed taking medicine (7.33%), no medicine taking because of worrying the adverse effect of medicine was 6 cases (4.00%), and there was 1 case of no medicine taking because of bad family condition (0.67%). Conclusion Nursing intervention in the treatment of patients with pulmonary tuberculosis can improve medication compliance, cure rate and life quality of patients.
KEYWORDS: pulmonary tuberculosis; nursing intervention; medication compliance

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