三方角色标配引导护理模式在肺结核患者中的应用效果

doi:10.3760/cma.j.cn441417-20240924-09032

摘要/Abstract

摘要：

目的　分析在肺结核患者中应用三方角色标配引导护理模式的效果。方法　本研究为前瞻性研究，选取2022年12月至2023年12月期间陕西省结核病防治院收治的142例肺结核患者为研究对象，采用随机抽样法分为对照组和观察组，每组71例。对照组男36例，女35例，年龄（49.68±6.21）岁，病程（1.30±0.46）月，予以常规护理；观察组男39例，女32例，年龄（49.11±6.80）岁，病程（1.24±0.49）月，在对照组基础上予以护士、患者、患者家属三方角色标配引导护理模式。两组护理干预时间均为7 d。于患者入组当天与干预7 d后，比较两组患者的情绪状态、自我护理能力以及生活质量评分。统计学方法采用t检验和χ2检验。结果　干预7 d后，观察组心境状态量表的紧张、疲劳、愤怒、抑郁、慌张、精力、自尊感评分均低于对照组［（11.11±2.11）分比（12.90±2.80）分、（7.77±2.29）分比（9.83±2.25）分、（13.89±1.67）分比（15.17±2.55）分、（10.76±2.52）分比（12.08±4.01）分、（8.96±2.55）分比（10.28±3.91）分、（9.89±2.72）分比（11.85±2.49）分、（12.89±2.87）分比（14.58±2.03）分］，差异均有统计学意义（t=4.302、5.407、3.538、2.348、2.383、4.479、4.051，均P<0.05）；观察组自我护理能力量表的自我概念、自我责任感、自我护理技能、健康知识水平评分均高于对照组［（27.24±3.46）分比（25.93±4.32）分、（16.62±2.39）分比（15.24±2.02）分、（34.39±2.92）分比（32.08±2.47）分、（46.82±2.92）分比（45.30±2.86）分］，差异均有统计学意义（t=1.994、3.716、5.089、3.134，均P<0.05）；观察组世界卫生组织生存质量测定量表简表的生理变化、心理领域、社会关系、环境领域、总体状况评分均高于对照组［（22.13±2.08）分比（20.70±2.15）分、（25.48±1.47）分比（23.85±1.15）分、（8.72±1.04）分比（7.28±1.14）分、（30.17±3.79）分比（28.21±3.21）分、（7.30±1.16）分比（6.24±1.02）分］，差异均有统计学意义（t=4.028、7.359、7.863、3.325、5.782，均P<0.05）。结论　三方角色标配引导护理模式应用于肺结核患者，可明显改善患者的情绪状态，有效提高其自我护理能力和生活质量，具有一定的推广应用价值。

关键词: 肺结核, , , 三方角色标配引导护理, , , 情绪状态, , , 自我护理能力, , , 生活质量

Abstract:

Objective　To analyze the impact of the tripartite role-matching guided care model in patients with pulmonary tuberculosis (PTB). Methods　This study is prospective ,involving 142 patients with pulmonary tuberculosis admitted to the Shaanxi Tuberculosis Control Hospital from December 2022 to December 2023. Random sampling was used to divide the patients into a control group and an observation group, with 71 patients in each group. The control group consisted of 36 males and 35 females, the age was (49.68±6.21) years old, the course of disease was (1.30±0.46) months, receiving routine nursing care. The observation group included 39 males and 32 females, the age was (49.11±6.80) years old, the course of disease was (1.24±0.49) months, On the basis of the control group, the nursing mode was guided by the three-party role standard of nurses, patients and family members of patients. The nursing intervention period for both groups was 7 days. The emotional state, self-care ability, and quality of life of the patients were compared on the day of enrollment and after 7 days of intervention. Statistical methods included t tests and χ² tests. Results　Seven days after the intervention, the observation group scored lower than the control group on the Mood States Scale for tension, fatigue, anger, depression, panic, energy, and self-esteem [(11.11±2.11) points vs. (12.90±2.80) points, (7.77±2.29) points vs. (9.83±2.25) points, (13.89±1.67) points vs. (15.17±2.55) points, (10.76±2.52) points vs. (12.08±4.01) points, (8.96±2.55) points vs. (10.28±3.91) points, (9.89±2.72) points vs. (11.85±2.49) points, (12.89±2.87) points vs. (14.58±2.03) points], with all differences being statistically significant (t=4.302, 5.407, 3.538, 2.348, 2.383, 4.479, and 4.051, all P<0.05). The self-care ability scale scores for self-concept, sense of self-responsibility, self-care skills, and health knowledge level in the observation group were higher than those in the control group [(27.24±3.46) points vs. (25.93±4.32) points, (16.62±2.39) points vs. (15.24±2.02) points, (34.39±2.92) points vs. (32.08±2.47) points, (46.82±2.92) points vs. (45.30±2.86) points], with all differences being statistically significant (t=1.994, 3.716, 5.089, and 3.134, all P<0.05). The World Health Organization Quality of Life Assessment (WHOQOL-BREF) scores for physical health, psychological domain, social relationships, environmental domain, and overall quality of life in the observation group were higher than those in the control group [(22.13±2.08) points vs. (20.70±2.15) points, (25.48±1.47) points vs. (23.85±1.15) points, (8.72±1.04) points vs. (7.28±1.14) points, (30.17±3.79) points vs. (28.21±3.21) points, (7.30±1.16) points vs. (6.24±1.02) points], with all differences being statistically significant (t=4.028, 7.359, 7.863, 3.325, and 5.782, all P<0.05). Conclusion　In PTB patients, the application of tripartite role labeling guided care model can significantly improve their emotional state, effectively improve their self-care ability and quality of life, and holds significant potential for broader application.

Key words: Pulmonary tuberculosis, , Tripartite role-matching guided care, , Emotional state, , Self-care agency, , Quality of life

吝昭君杨洋高瑜.

三方角色标配引导护理模式在肺结核患者中的应用效果 [J]. 国际医药卫生导报, 2025, 31(9): 1574-1578.

Lin Zhaojun, Yang Yang, Gao Yu.

Analysis of the effect of the application of tripartite role-matching guided care model in patients with pulmonary tuberculosis [J]. International Medicine and Health Guidance News, 2025, 31(9): 1574-1578.

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