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Application of responsibility-based nursing in patients with both DM and PTB
Fang Li1, Chunxiang Liu1, Mina Jiang1
1Department of 3 Internal Medicine, Hunan Province Chest Hospital Changsha 410013, Hunan Province, China.
Objective:
To evaluate the application value of responsibility-based nursing intervention in the nursing of patients with both diabetes mellitus (DM) and pulmonary tuberculosis (PTB).
Methods:
A total of 180 patients with both DM and PTB admitted to our hospital from April 2019 to April 2020 were enrolled as research objects, of which 86 patients were under routine nursing intervention as a regular group (Reg group) and other 94 patients were under responsibility-based nursing intervention as a responsibility group (Res group). The unhealthy emotion, treatment compliance, self-efficacy, self-care ability, and life quality of both groups were evaluated after nursing intervention, and they were compared in blood glucose level and PTB treatment outcome.
Results:
After intervention, the Res group got lower self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores than the Reg group (both P<0.05). The Res group also got higher scores of self-efficacy, self-care ability, and life quality, and showed significantly higher treatment compliance rate and nursing satisfaction than the Reg group after intervention (all P<0.05). Additionally, after intervention, the Res group got higher scores of life quality than the Reg group (all P<0.05). The levels of fasting blood glucose (FBG), 2 hour postprandial blood glucose (2h PG), and glycosylated hemoglobin (HbA1c) in the Res group were lower than those in the Reg group, and the cavity closure rate, sputum negative conversion rate, and focus absorption rate of the Res group were all significantly higher than those of the Reg group (all P<0.05).
Conclusion:
Responsibility-based nursing intervention can improve the treatment compliance, self-management ability, self-efficacy, and life quality of patients with both DM and PTB.
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