论文部分内容阅读
目的探究原发性肺结核患者出院后随访对结核患者遵医嘱行为的影响。方法将本院自2009年1月—2012年10月收治的526例结核患者作为研究对象,随机分为观察组和对照组各263例,对照组在患者出院后进行常规的出院指导,观察组在此基础上实施随访,随访12个月后,对比两组患者遵医嘱行为及原发性肺结核的复发率。计数资料采用χ2检验,P<0.05为差异有统计学意义。结果观察组遵医嘱行为(规律用药197例、按时休息209例、定期复查216例、戒烟限酒221例、合理饮食192例)明显比对照组(规律用药132例、按时休息143例、定期复查139例、戒烟限酒185例、合理饮食132例)好,差异均有统计学意义(均P<0.05),观察组复发55例,对照组复发142例,观察组的复发率低于对照组,差异有统计学意义(P<0.05)。结论原发性肺结核患者出院后,对其在出院指导的基础上进行随访,能显著增加患者的遵医嘱行为,降低疾病的复发率,有积极的临床意义。
Objective To investigate the impact of follow-up of patients with primary pulmonary tuberculosis on tuberculosis patients’ follow-up behavior after discharge. Methods A total of 526 tuberculosis patients admitted to our hospital from January 2009 to October 2012 were randomly divided into observation group (263 cases) and control group (263 cases). The control group was discharged from the hospital after routine discharge guidance. The observation group On this basis, follow-up was carried out. After 12 months of follow-up, the compliance rate and the relapse rate of primary pulmonary tuberculosis in both groups were compared. Count data using χ2 test, P <0.05 for the difference was statistically significant. Results The observation group compliance behavior (regular medication 197 cases, 209 cases on time, regular review of 216 cases, 221 cases of smoking cessation of alcohol, a reasonable diet of 192 cases) was significantly more than the control group (regular medication 132 cases, 143 cases of rest on time, regular review 139 cases, 185 cases of smoking cessation and alcohol restriction, 132 cases of reasonable diet), the difference was statistically significant (both P <0.05), 55 cases in the recurrence group and 142 cases in the control group. The recurrence rate in the observation group was lower than that in the control group , The difference was statistically significant (P <0.05). Conclusion After the discharge of primary pulmonary tuberculosis patients, their follow-up on the basis of discharge guidance can significantly increase their compliance with the doctor’s advice and reduce the recurrence rate of the disease, which has positive clinical significance.