三化一体全程健康指导用于老年肺结核患者的效果评价
The effectiveness evaluation of Three in One full health guide in the elderly with tuberculosis
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摘要: 目的:探讨三化一体全程健康指导对老年肺结核患者知信行和规范服药行为的影响。方法:采取方便取样方法,自编的结核病防治知信行调查问卷,对41例老年肺结核患者进行调查,根据结果分析患者知信行薄弱环节和老年人患病的特点,实施三化一体全程健康指导。出院后3个月内随访患者服药行为,并对患者知信行再次行问卷调查。结果:出院3个月后患者结核病知信行平均得分为57.814.84,高于入院时平均得分31.2411.72(P0.01);出院3个月后得分及格率为97.56%,高于入院时36.59%(P0.01);出院后3个月随访期间,患者100%服药37例,偶尔忘记服药3例,无经常忘记服药和中断服药经历病例;仅1例变更药物种类和用量。结论:三化一体全程健康指导可使老年患者获得相应知识,改变其对疾病的态度,规范服药行为,促进疾病康复。Abstract: Objective:To explore the effects of Three in One full health guide on the knowledge,belief and practice(KBP) and standard medicine behavior of the elderly with tuberculosis(TB).Methods:Forty-one elderly with TB were investigated by using the method of convenience sampling and self-made questionnaire about KBP of TB's control.According to the results of the questionnaire,the weakness of KBP and the features of illness were analysed and Three in One full health guide were conducted.Medication behavior of all patients were followed up three months after discharge and the KBP of patients were investigated again.Results:Three months after their discharge,the average scores of KBP and passing rate(57.814.84 and 97.56% respectively) of the patients with TB patients were significantly higher than that of the patients entering hospital(31.2411.72,36.59% respectively)(P0.01).During following-up three months after discharge,37 patients took entirely the medicine,3 patients occasionally forgot medication,one changed the type and dosage of drugs and no one frequently forgot or interrupted taking-medication.Conclusions:Three in One full health guide can make the elderly obtain appropriate knowledge,change the attitude of diseases,regulate the patients taking actions and promote health recovery.