【摘要】 目的:探讨结核病患者服药依从性与自我管理行为和生活方式的相关性,并讨论相关的护理对策。方法:随机选取134例结核病患者为研究对象,设计调查表调查所有患者自我管理行为和生活方式,分析其对服药依从性的影响及其护理对策。结果:134例被调查者中服药依从性良好者47例,构成比为35.07%。服药依从性良好组患者每周体育锻炼时间为182.4±72.1(min),认知症状管理评分为182.4±72.1,与医生交流评分为3.32±0.76,症状管理评分为7.41±1.13以及疾病共性管理评分为7.42±1.12,自我管理行为评分和自我效能评分明显高于依从性差组(62.2±33.4min,1.26±0.73,1.15±0.27,2.08±0.82,2.53±0.62),各项比较差异均有统计学意义(P<0.05)。服药依从性组患者每周工作时间为38.3±0.8(h),短于依从性差组66.1±1.2(h),每周睡眠时间为68.4±3.5(h),长于依从性差组37.3±4.5(h),吸烟量为0.5±0.2(支/d),少于依从性差组4.3±0.8(支/d),分别比较差异均有统计学意义(P<0.05)。Logistic回归分析结果显示,自我管理能力、每周工作时间、每周睡眠时间以及吸烟量与患者服药依从性相关(P<0.05)。结论:有效的自我管理和良好的生活方式可提高结核病患者的服药依从性。更多还原

【Abstract】 Objective: To investigate the relationship among self management behavior,life style and medication compliance in tuberculosis patients,and to discuss its nursing countermeasures.Method: 134 cases of patients with tuberculosis were investigated with a self-designed questionnaire about self management behavior and life style.And analysed the influence of the medication compliance and the nursing countermeasures.Result: In 134 patients,the medication compliance patients were 47 cases,the proportion was 35.07%.In medication compliance well patients group,the weekly physical exercise time was(182.4±72.1) minutes,the cognitive symptoms management score was 182.4±72.1 minutes,the doctor exchange score was 3.32±0.76,the symptom management score was 7.41±1.13,and the disease common management score was 7.42±1.12,which were higher than in the medication compliance bad patients group(62.2±33.4) minutes,1.26±0.73,1.15±0.27,2.08±0.82,2.53±0.62,the comparative differences were statistically significant(P < 0.05).In medication compliance well patients group,the average workweek was(38.3±0.8) hours,which was shorter than that in the medication compliance bad patients group(66.1±1.2) hours;the weekly sleep time was(68.4±3.5) hours,which was longer than that in the medication compliance bad patients group(37.3±4.5) hours;the smoking was 0.5±0.2,which was less than in the medication compliance bad patients group 4.3±0.85(piece/d);the comparative differences were statistically significant(P < 0.05).The logistic regression analysis showed that the self management behavior,the average workweek,the weekly sleep time and the smoking were related to medication compliance(P<0.05).Conclusion: Effective self management and good life style can be very good for improving the medication compliance in tuberculosis patients.更多还原