护理干预对肺结核患者再入院的影响:一项准实验性研究
Chamlong Sunpapoa1, Nat Na-Ek2, Areeya Sommai3
1Division of Internal Medicine, Department of Nurse, Phrae Hospital, Phrae, Thailand.
Asian nursing research
|June 9, 2023
概括
一个护理护理计划显著减少了肺结核 (TB) 患者的28天住院再诊. 该干预措施还改善了患者的知识和自我护理行为,证明了其在治疗结核病方面的有效性.
科学领域:
- 肺部医学 肺部医学
- 护理科学 护理科学
- 公共卫生 公共卫生
背景情况:
- 在肺结核 (TB) 管理方面,再入院对患者构成重大负担.
- 有效的护理干预对于改善患者的治疗结果和降低与结核病相关的医疗保健成本至关重要.
- 优化护理途径可以减轻并发症,提高患者的自我管理.
研究的目的:
- 评估结构化护理计划对肺结核患者28天再入院减少的影响.
- 评估该计划在改善患者知识和自我护理行为方面的有效性.
- 为在结核病管理中实施基于证据的护理实践提供证据.
主要方法:
- 采用了一种准实验性设计,使用历史对照组 (通常的护理).
- 该研究包括104名肺结核患者,其中36人在干预组,68人在历史控制组.
- 统计分析包括对基线共变量进行调整的Cox和Poisson模型,以评估再接收发生率和率.
主要成果:
- 护理护理计划显著降低了28天再入院的发生率 (aHR=0.16;95% CI 0.03-0.87).
- 干预组的再接收率也显著下降 (aIRR=0.22;95% CI 0.06-0.85).
- 观察到知识和自我照顾行为得分的显著改善,在出院后28天持续效应.
结论:
- 护理护理计划有效地减少了肺结核患者28天的住院再入院.
- 干预措施对患者的知识和自我护理行为产生积极影响,有助于更好地管理疾病.
- 实施这种护理计划可以提高患者的治疗结果,并可能减少结核病护理中的医疗保健利用率.
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