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沈斌,孙丽芳.小组合作负责制对居家耐多药肺结核患者自我疾病管理能力影响的研究[J].浙江中西医结合杂志,2018,28(8):
小组合作负责制对居家耐多药肺结核患者自我疾病管理能力影响的研究
A Study on the Effect of Group Cooperation Responsibility System in the Self-disease Management Ability of Patients with Multi-drug Resistant Tuberculosis Who Lived at Home
投稿时间:2017-07-23  修订日期:2017-11-17
DOI:
中文关键词:  小组合作负责制  耐多药肺结核  自我疾病管理能力
英文关键词:Group cooperation responsibility system  Multi-drug resistant tuberculosis  Self-disease management ability
基金项目:杭州市卫生科技计划A类项目(2013A-37);项目名称:小组合作负责制对居家耐多药肺结核病患者自我疾病管理的影响研究;
作者单位E-mail
沈斌 杭州红十字会医院 xr0421@126.com 
孙丽芳 杭州红十字会医院  
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中文摘要:
      摘要:目的:观察小组合作负责制在居家耐多药肺结核患者自我疾病管理能力中的应用效果。方法:将60例在我中心住院治疗过的耐多药肺结核患者按就诊时间先后编号随机分为2组。对照组:包括专科指导,饮食宣教,心理护理,消毒隔离技术,出院健康宣教等措施。实验组:在对照组的基础上,采用小组合作负责制对居家耐多药肺结核患者在治疗期间进行有效跟踪管理,增加自我疾病管理能力干预的措施。结果:干预1年半后采用日常管理能力自评及用药依从性比较对照组和实验组有显著性差异,P值分别小于0.05和0.01。结论:应用小组合作负责制对居家耐多药肺结核患者进行干预能提高居家耐多药肺结核患者治疗期间的自我疾病管理能力,从而提高耐多药肺结核的治愈率,减少传染源。
英文摘要:
      【Abstract】 Objective: To observe the application effect of group cooperation responsibility system in the self-disease management ability of patients with multi-drug resistant tuberculosis who lived at home. Methods: 60 cases of patients with multi-drug resistant tuberculosis who had been treated in our center were randomly divided into two groups according to the admission time. Control Group: professional guidance, diet education, psychological counseling; sterilizing and isolating technique, and discharge health education, were included. Experiment Group: based on the control group, group cooperation responsibility system was adopted to conduct effective follow-up management on patients with multi-drug resistant tuberculosis during the treatment period, and increase nursing intervention for self-disease management ability. Results: After 1.5 years of intervention, self-assessment of daily management ability and medication compliance was adopted, and there was of significant difference after comparing the control group and experiment group with P value less than 0.05 and 0.01 respectively. Conclusion: The application of group cooperation responsibility system in intervening patients with multi-drug resistant tuberculosis who live at home can improve those patients' self-disease management ability and thus improve the recovery rate of multi-drug resistant tuberculosis and reduce the source of infection.
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