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目的研究综合性护理干预对肺结核合并抑郁症患者治疗依从性及抑郁情绪的影响。方法选择2012年5月—2014年6月期间收治的肺结核合并抑郁症患者57例进行研究,按随机数表法将其分为接受综合性护理干预的研究组(n=30)和接受常规护理干预的对照组(n=27)。护理干预后,对两组患者的抑郁情绪评分、治疗依从性以及临床治疗效果进行调查分析。结果护理干预后3、4、5、6个月,研究组汉密尔顿抑郁量表总评分分别为(19.18±2.36)、(18.65±2.61)、(17.43±1.78)、(16.57±2.05)分,对照组分别为(22.05±3.03)、(21.88±2.85)、(20.96±2.06)、(20.04±1.39)分;研究组痰菌转阴率分别为66.7%、76.7%、80.0%、86.7%,对照组分别为37.0%、44.4%、51.6%、63.0%;研究组肺CT病灶吸收率分别为43.3%、56.7%、63.3%、76.7%,对照组分别为18.5%、25.9%、35.3%、40.7%;以上指标组间比较,差异均有统计学意义(P<0.05)。研究组和对照组患者治疗依从性分别为90.0%和63.0%,差异有统计学意义(P<0.05)。结论综合性护理干预有助于改善肺结核合并抑郁症患者的负性情绪、提高治疗依从性以及临床治疗效果,有利于促进患者早日康复。
Objective To study the effect of comprehensive nursing intervention on treatment adherence and depression in patients with pulmonary tuberculosis complicated with depression. Methods Fifty-seven patients with pulmonary tuberculosis complicated with depression who were treated during the period from May 2012 to June 2014 were selected and randomly divided into study group (n = 30) and general nursing group Control intervention group (n = 27). Nursing intervention, the two groups of patients with depression score, treatment compliance and clinical efficacy of the investigation and analysis. Results At 3, 4, 5, and 6 months after nursing intervention, the total scores of Hamilton Depression Scale in the study group were (19.18 ± 2.36), (18.65 ± 2.61), (17.43 ± 1.78) and (16.57 ± 2.05) (22.05 ± 3.03), (21.88 ± 2.85), (20.96 ± 2.06) and (20.04 ± 1.39), respectively. The negative conversion rates of sputum in the study group were 66.7%, 76.7%, 80.0% and 86.7% The rates of lung CT lesions in the study group were 43.3%, 56.7%, 63.3% and 76.7% respectively, while those in the control group were 18.5%, 25.9%, 35.3% and 40.7%, respectively %; The above indicators were compared between groups, the differences were statistically significant (P <0.05). The treatment compliance of study group and control group was 90.0% and 63.0%, respectively, with significant difference (P <0.05). Conclusion The comprehensive nursing intervention can help to improve the negative emotions of patients with pulmonary tuberculosis complicated with depression and improve the compliance of treatment and clinical curative effect, which is helpful to promote the early recovery of patients.