文章摘要

思维导图引导延续性护理干预对肺结核患者诊疗依从性及预后的影响

作者: 1黄兰妹, 2陈欣梅, 1冯芳, 1洪桂
1 海口市人民医院感染性疾病科,海口 570208
2 海口市人民医院中医科,海口 570208
通讯: 黄兰妹 Email: 592375939@qq.com
DOI: 10.3978/j.issn.2095-6959.2020.09.041

摘要

目的:探讨思维导图引导延续性护理干预对肺结核患者诊疗依从性及预后的影响,为临床诊治提供依据。方法:选取海口市人民医院2017年1月至2019年1月收治的70例肺结核患者。按照随机数表法,将所有患者分为两组,各35例。对照组给予常规护理干预,观察组在常规护理基础上给予思维导图引导延续性护理干预。分别于干预后半年,观察比较两组患者干预前后诊疗依从性,生活质量评分变化情况,比较干预后痊愈率、复发率及护理满意度情况。结果:观察组干预后依从率(71.43%)明显高于对照组(34.29%),差异有统计学意义(P<0.05)。观察组干预后社会功能、情绪功能、躯体功能及角色功能评分均明显高于对照组,差异有统计学意义(P<0.05)。观察组痊愈率(91.43%)明显高于对照组(71.43%),复发率(8.57%)明显低于对照组(28.57%),差异有统计学意义(P<0.05)。观察组护理满意率(97.14%)明显高于对照组(80.00%),差异有统计学意义(P<0.05)。结论:思维导图引导延续性护理干预可显著提高肺结核患者诊疗依从性,对提升患者生活质量,提高治愈率均有积极的意义。
关键词: 思维导图;延续性护理;肺结核;健康教育;预后

Effect of continuous nursing intervention guided by mind map on the diagnosis and treatment compliance and prognosis of patients with pulmonary tuberculosis

Authors: 1HUANG Lanmei, 2CHEN Xinmei, 1FENG Fang, 1HONG Gui
1 Department of Infectious Diseases, Haikou People’s Hospital, Haikou 570208, China
2 Department of Traditional Chinese Medicine, Haikou People’s Hospital, Haikou 570208, China

CorrespondingAuthor: HUANG Lanmei Email: 592375939@qq.com

Abstract

Objective: To explore the influence of continuous nursing intervention guided by mind map on the diagnosis and treatment compliance and prognosis of pulmonary tuberculosis patients, so as to provide basis for clinical diagnosis and treatment. Methods: Seventy patients with pulmonary tuberculosis admitted to our hospital from January 2017 to January 2019 were selected for study. According to the method of random number table, all patients were divided into two groups, 35 cases in each group. The control group was given routine nursing intervention, and then the observation group was given continuous nursing intervention guided by mind map on the basis of routine nursing. After six months of intervention, the compliance of diagnosis and treatment, the change of quality of life score, the recovery rate, recurrence rate and nursing satisfaction of the two groups were compared. Results: The compliance rate (71.43%) of the observation group were significantly higher than that of the control group (34.29%), the difference were statistically significant (P<0.05). After the intervention group, the social function, emotional function, physical function and role function score were significantly higher than those in the control group, the difference were statistically significant (P<0.05). The recovery rate (91.43%) of the observation group were significantly higher than that of the control group (71.43%), and the recurrence rate (8.57%) were significantly lower than that of the control group (28.57%), the difference was statistically significant (P<0.05). The nursing satisfaction rate of the observation group (97.14%) were significantly higher than that of the control group (80.00%), the difference was statistically significant (P<0.05). Conclusion: The continuous nursing intervention guided by mind map can significantly improve the compliance of diagnosis and treatment of tuberculosis patients, improve the quality of life of patients, and improve the cure rate.
Keywords: mind mapping; continuous care; tuberculosis; health education; prognosis