首页> 中文期刊> 《中国医药导报》 >新起点干预对南战区部队肺结核患者康复的影响

新起点干预对南战区部队肺结核患者康复的影响

         

摘要

Objective To investigate the influence of the health concept of novel starting point (HCNSP) on the reha-bilitation of patients with pulmonary tuberculosis in South war-zone. Methods From July 2012 to December 2013, 114 patients with pulmonary tuberculosis from the Department of Infectious Diseases, No. 422 Hospital of PLA were select-ed and randomly divided into the experiment group and the control group, with 57 cases in each group. The experiment group was given the conventional treatment together with HCNSP, which included nutrition intervention, naturopathy and special lecture outside; while the control group was given the treatment of conventional health education and diet, which contained high quality protein, heat and vitamins. Before and after the intervention, two groups were given the e-valuation, including constitution evaluation indicators and medical coping mode questionnaire (MC-MQ), and the fol-lowed-up rate of sputum negative conversion at 2, 4, 6 months were conpored. Results After 31 days HCNSP interven-tion, the body mass index (BMI), total lymphocyte count (LMP), serum albumin (ALB) and hemoglobin (HB) of two groups were all increased than those before, the differences were statistically significant (P< 0.05); BMI, LMP, ALB and HB of the experiment group were higher than those of the control group, the differences were statisti-cally significant (P< 0.05). The patients of two groups using the strategy of improper response, such as facing (asking help/concern), avoiding and yielding (disap-pointment) were significant lower than that before, the differences were statistically significant (P< 0.05). The rates of sputum negative conversion at 2, 4, 6 months in the experiment group were higher than those of the control group, the differences were statistically significant (P <0.05). Conclusion The intervention with HCNSP can effectively improve the patient's physical and reduce adverse e-motions, and the effect of intervention with HCNSP is better than that of traditional health education.%目的:探讨实施新起点健康理念干预对南战区部队肺结核患者康复的影响。方法选择2012年7月~2013年12月解放军第四二二医院传染科收治的114例南战区部队肺结核患者,随机分为实验组与对照组,每组各57例。实验组患者在常规治疗的基础上应用新起点健康理念,通过营养干预、水分补充、自然疗法、开设户外健康讲座等措施进行干预;对照组给予常规的健康教育,提供优质蛋白、高热量、富含维生素膳食。两组均进行干预前及干预后的体质指标评价、医学应对问卷(MC-MQ)测评,并比较随访2、4、6个月末痰菌阴转率。结果干预31 d后,两组干预后的体重指数(BMI)、总淋巴细胞计数(LMP)、血清白蛋白(ALB)、血红蛋白(HB)均升高,与干预前比较差异有统计学意义(P<0.05);实验组的BMI、LMP、ALB、HB均高于对照组,差异有统计学意义(P<0.05)。干预后实验组回避和屈服评分均低于对照组,差异有统计学意义(P<0.05)。干预后随访2、4、6个月末痰菌阴转率实验组均高于对照组,差异有统计学意义(P<0.05)。结论新起点健康理念干预能明显改善患者的体质,减少其不良应对情绪,提高治疗效果,干预效果优于传统健康教育。

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