护理学专栏

综合护理干预对耐多药结核病患者心理状态及服药依从性的影响*

  • 王淑梅 ,
  • 热依娜·麦德力汗
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  • 新疆塔城地区人民医院,新疆塔城 834700

收稿日期: 2022-12-06

  网络出版日期: 2024-03-22

基金资助

*新疆自然科学基金面上项目(2019D01A90)

Effects of comprehensive nursing intervention on psychological state and medication compliance of patients with multidrug resistant tuberculosis

  • WANG Shumei ,
  • Reyina·Maidelihan
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  • Xinjiang Tacheng People's Hospital, Tacheng 834700, China

Received date: 2022-12-06

  Online published: 2024-03-22

摘要

目的: 探讨心理干预和团体活动对耐多药结核病患者心理状态及治疗依从性的影响。方法: 将200例患者随机分为常规组和干预组各100例,常规组采用常规健康教育及一般常规护理,干预组采用心理干预、团体活动等多形式干预,采用症状自评量表(symptom checklist-90,SCL-90)进行心理状况调查测评,采用服药依从性量表进行服药依从性测评。结果: SCL-90中躯体化、强迫症状、人际关系敏感、抑郁、偏执、精神病性、睡眠及饮食几个维度,干预组得分均低于常规组(P<0.05),干预组SCL-90情况总均分低于常规组(P<0.05);干预组患者治疗依从性总均分高于常规组(t=-2.740,P=0.007);其中“结核病治疗周期长,您是否觉得长期服药有困难?”“您多久会有一次忘记服药?”“在过去的2周内,是否曾经忘记服用结核药?”这3个条目的分值干预组均高于常规组(P<0.05)。结论: 心理干预及团体活动可改善耐多药结核病患者的不良心理状态,提高治疗依从性,促进患者康复。

本文引用格式

王淑梅 , 热依娜·麦德力汗 . 综合护理干预对耐多药结核病患者心理状态及服药依从性的影响*[J]. 包头医学院学报, 2024 , 40(3) : 79 -83 . DOI: 10.16833/j.cnki.jbmc.2024.03.015

Abstract

Objective: To explore the effects of psychological intervention and group activities on the psychological state and treatment compliance of patients with multi-drug resistant tuberculosis. Methods: A total of 200 patients were randomly divided into the control group and intervention group with 100 cases in each group. The control group received routine health education and general routine nursing. Psychological intervention, group activities and other forms of intervention were used in the intervention group. The self-rating Symptom Scale (SCL-90) was used to evaluate the psychological status of patients, and the medication compliance scale was used to evaluate the medication compliance. Results: The total mean score of SCL-90 in the intervention group was lower than that in the control group (t=2.877, P=0.004). Items of SCL-90 including somatization, obsessive symptoms, interpersonal sensitivity, depression, paranoia, psychosis, sleep and diet, the scores of the above items were lower in the intervention group than those in the conventional group (P<0.05). The total mean score of treatment compliance in the intervention group was higher than that in the control group (t=-2.740, P=0.007). "Is it difficult for you to take anti-tuberculosis medicine for a long time?", "How often have you forgot taking your medication? ", Have you ever forgot taking your TB medicine in the past two weeks? ", the scores of the above 3 items in the intervention group were all higher than those in the control group (P< 0.05). Conclusion: Psychological intervention and group activities can alleviate the adverse psychological state of MDR-TB patients, improve the treatment compliance, and enhance the recovery of patients.

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