行为分阶段转变理论护理对肺结核患者痰菌转阴率、自我效能及依从性的影响

2024-01-21吴方

婚育与健康 2023年24期

吴方

【摘要】目的：观察临床上对肺结核患者施用行为分阶段转变理论护理干预的效果。方法：本次研究的研究对象，由广东省中山市第二人民医院随机数字表法选取，2022年4月—2023年4月阶段内接受诊治的300例肺结核患者，划分为试验组、对照组各150例。试验组施用行为分阶段转变理论护理模式干预，对照组施用常规护理干预。结果：试验组痰菌转阴率高于对照组（P<0.05），试验组自我效能评分高于对照组（P<0.05），试验组依从性高于对照组（P<0.05）。结论：行为分阶段转变理论护理模式投入临床接受诊治的肺结核患者护理中，所得干预的评估结果更好。

【关键词】行为分阶段转变理论护理；肺结核；痰菌转阴率；自我效能；依从性

Effect of theoretical nursing of behavioral change in stages on sputum negative rate， selfefficacy and compliance of pulmonary tuberculosis patients

WU Fang

Zhongshan No.2 Peoples Hospital， Zhongshan， Guangdong 528400， China

【Abstract】Objective： To observe the effectiveness of nursing interventions based on the theory of phased behavioral change in patients with pulmonary tuberculosis in clinical practice. Methods：The research subjects of this study were selected by the random number table method from the Second Peoples Hospital of Zhongshan City， Guangdong Province. 300 pulmonary tuberculosis patients who received treatment from April 2022 to April 2023 were divided into an experimental group and a control group with 150 cases each. The experimental group underwent a phased change in the use of theoretical nursing intervention， while the control group received routine nursing intervention.Results：The results showed that the sputum bacteria conversion rate in the experimental group was higher than that in the control group（P<0.05）， the self-efficacy score in the experimental group was higher than that in the control group（P<0.05）， and the compliance of the experimental group was higher than that in the control group（P<0.05）. Conclusion： The phased transformation of behavior theory nursing model is applied to the nursing of pulmonary tuberculosis patients receiving clinical diagnosis and treatment， and the evaluation results of the intervention are better.

【Key Words】Theoretical nursing of behavioral change in stages； Tuberculosis； Negative conversion rate of sputum bacteria； Selfefficacy； Compliance

肺結核属于临床上常见、多发的一种传染性呼吸系统疾病[1-2]，该疾病的发病率相对较高，且传染性相对较高。患者需要及时实施有效的治疗干预，临床上常应用药物治疗干预。由于患者自身对疾病的认知度相对较低，常会出现随意停药等不良现象，其依从性相对较差。同时患者在长期实施治疗的过程中，容易产生多种负性情绪[3-4]，影响到其治疗信心，进一步影响到治疗效果。为改善其遵医嘱用药率，需在治疗期间加强护理干预。本次研究中将300例接受诊治的肺结核患者作为研究对象，选择在临床护理开展中，对试验组施用行为分阶段转变理论护理模式干预措施，结果如下报道。