应用临床护理路径对耐多药肺结核患者实施健康教育的效果分析

中国防痨杂志 ›› 2013, Vol. 35 ›› Issue (6): 456-459.

应用临床护理路径对耐多药肺结核患者实施健康教育的效果分析

苏丽芳李进升陈恩泰

525200 广东省高州市慢性病防治站结核科

收稿日期:2013-04-12 出版日期:2013-06-10 发布日期:2013-07-02
通信作者: 李进升 E-mail:li3618523@163.com

Effect analysis of application of the clinical nursing pathway on health education in patients with multidrug-resistant pulmonary tuberculosis（MDR-TB）

SU Li-fang, LI Jin-sheng, CHEN En-tai

Department of Tuberculosis Control,Hospital for Chronic Diseases of Gaozhou of Guangdong Province, Gaozhou 525200, China

Received:2013-04-12 Online:2013-06-10 Published:2013-07-02
Contact: LI Jin-sheng E-mail:li3618523@163.com

摘要/Abstract

摘要： 目的探讨临床护理路径（简称“临床路径”）应用于耐多药肺结核患者健康教育中的效果。方法将耐多药肺结核患者分为临床路径组（55例）：男35例，女20例，平均年龄（51±13.8）岁；对照组（50例）：男31例，女19例，平均年龄（52±11.9）岁。临床路径组应用临床路径进行健康教育，对照组采用常规护理方案进行健康教育，比较两组患者健康教育及治疗后生活行为的改变、护理工作满意度和抗结核药物服药依从性。均采用χ²检验，以P<0.05为差异有统计学意义。结果两组患者的治疗依从性比较：临床路径组得4分50例，得3分5例，得2分0例，得1分0例；对照组得4分25例，得3分10例，得2分5例，得1分10例。认知行为改变比较：临床路径组基本理解40例，部分理解12例，不能理解3例；对照组基本理解19例，部分理解18例，不能理解13例。护理工作满意度比较：临床路径组满意47例，比较满意5例，基本满意3例，不满意0例；对照组满意30例，比较满意8例，基本满意7例，不满意5例。两者上述3项评价指标经统计学处理，χ²值分别为26.52、8.56、6.95，P值均＜0.01，临床路径组明显高于对照组。结论在耐多药肺结核患者健康教育中实施临床路径管理，可有效提高患者对治疗依从性、护理工作满意度和认知行为的改变。

关键词: 结核, 肺/护理, 结核, 抗多种药物性/护理, 健康教育, 评价研究

Abstract: Objective To explore the effect of application of the clinical nursing pathway on health education in patients with MDR-TB. Methods One hundred and five patients with MDR-TB were assigned to clinical pathway group(55 cases) and control group(50 cases). The clinical pathway group included 35 male and 20 female, the average age was（51±13.8）years old. The control group included 31 male and 19 female,the average age was（52±11.9）years old. Patients in clinical pathway group received health education with clinical nursing pathway and those in control group received health education with conventional care program. Change of life behavior, nursing satisfaction and compliance of taking anti-tuberculosis drugs were compared between the clinical pathway group and the control group. Data were analyzed with chi-square test. P-value＜0.05 was considered to be statistically significant. Results In terms of the score of treatment compliance, in the clinical pathway group, 50 cases got 4 scores, 5 cases got 3 scores, no case got 2 scores, no case got 1 score. In contrast, in the control group, 25 cases got 4 scores, 10 cases got 3 scores, 5 cases got 2 scores, 10 cases got 1 score. In terms of the cognitive behavior change, in the clinical pathway group, 40 cases had general understanding, 12 cases had partial understanding and 3 cases could not understand. In the control group, 19 cases had general understanding, 18 cases had partial understanding and 13 cases could not understand. In terms of the nursing satisfaction, in the clinical pathway group, 47 cases were satisfied with the health education, 5 cases felt partly satisfaction, 3 cases felt basic satisfaction and no case felt unsatisfactory. In the control group, 30 cases were satisfied with the health education, 8 cases felt partly satisfaction, 7 cases felt basic satisfaction and 5 cases felt unsatisfactory. Three above assessment indicators between the clinical pathway group and the control were significantly different. The chi-square value were 26.52，8.56 and 6.95 respectively. The indicator in the clinical pathway group was higher than those in the control(all P<0.01）. Conclusion Management of clinical pathway can improves treatment compliance,nursing care satisfaction and cognitive behavior change in patients with MDR-TB.

Key words: Tuberculosis, pulmonary/nursing, Tuberculosis, multidrug-resistant/nursing, Health education, Evaluation studies

苏丽芳李进升陈恩泰. 应用临床护理路径对耐多药肺结核患者实施健康教育的效果分析[J]. 中国防痨杂志, 2013, 35(6): 456-459.

SU Li-fang, LI Jin-sheng, CHEN En-tai. Effect analysis of application of the clinical nursing pathway on health education in patients with multidrug-resistant pulmonary tuberculosis（MDR-TB）[J]. Chinese Journal of Antituberculosis, 2013, 35(6): 456-459.

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