【摘要】 目的 研究在肺结核合并糖尿病双病种患者护理中开展健康信念模式与家属共同参与管理对其用药依从率的影响效果。方法 选取2023年1月至2025年1月我院收治的肺结核合并糖尿病双病种患者150例,运用随机数字表法分成观察组75例与对照组75例。对照组患者接受常规管理,观察组患者采取健康信念模式与家庭共同参与管理。比较两组用药依从率、焦虑程度、睡眠质量、肺功能、血糖水平及生活质量改善情况。结果 管理后,观察组用药依从率高于对照组,焦虑程度低于对照组,睡眠质量和肺功能改善效果优于对照组,血糖水平低于对照组,生活质量评分高于对照组(P<0.05)。结论 对肺结核伴糖尿病双病种患者开展健康信念模式与家属共同参与管理,可有效提升患者用药依从率,促进肺功能恢复,改善血糖水平,缓解负性情绪,提高睡眠质量及生活质量。更多还原

【Abstract】 Objective To study the effect of health belief model and family members’ participation in management on medication compliance of patients with pulmonary tuberculosis and diabetes. Methods 150 patients with pulmonary tuberculosis complicated with diabetes in our hospital from January 2023 to January 2025 were selected and randomly divided into observation group(75 cases) and control group(75 cases). The patients in the control group received routine management, while the patients in the observation group took the health belief model and family to participate in the management. The improvement of medication compliance, anxiety, sleep quality, lung function, blood glucose level and quality of life were compared between the two groups. Results After management, the medication compliance rate of the observation group was higher than that of the control group, the degree of anxiety was lower than that of the control group, the improvement effect of sleep quality and lung function was better than that of the control group, the blood glucose level was lower than that of the control group, and the score of quality of life was higher than that of the control group(P<0.05). Conclusion the health belief model and family members’ participation in the management of patients with pulmonary tuberculosis and diabetes can effectively improve the medication compliance rate of patients, promote the recovery of lung function, improve the blood glucose level, relieve negative emotions, and improve the quality of sleep and life.更多还原