老年肺结核患者应对方式与治疗依从性的相关性研究(1)
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【摘要】 目的：了解老年肺结核患者治疗依从性，分析应对方式与治疗依从性的相关性。方法：应用患者一般情况调查表，医学应对方式问卷，治疗依从性调查表对76例老年肺结核患者进行问卷调查。结果：老年肺结核患者的回避、屈服应对方式得分高于常模(P<0.01)，而面对方式得分与常模差异无统计学意义(P>0.05)。治疗依从性各维度的标准分由高到低依次为：药物治疗依从性、定期复查依从性、生活方式改善依从性。多元回归分析显示老年肺结核患者个治疗依从性与年龄、文化程度、病程、住院次数，面对、回避与屈服应对方式有关。 结论：护理人员应根据患者治疗依从性的影响因素，治疗依从性与应对方式的关系采取有效措施，提高患者依从性，进而提高治疗效果。
【关键词】 肺结核；应对方式；依从性
A correlation study of coping style and treatment compliance in elderly patients with pulmonary tuberculosis
HUANG ZheMeiCAO LiHongLI JianNiPENGQiuyan HONG Wanmei
【Abstract】Objective: To investigate the treatment compliance in elderly patients with pulmonary tuberculosis, and analyze the relationship
between coping style and treatment compliance. Methods: 76 cases of elderly patients with pulmonary tuberculosis were investigated with general questionnaire, medical coping modes questionnaire, treatment compliance questionnaire. Results: The scores of avoidance and surrender coping modes in elderly patients with tuberculosis were higher than norm (P <0.01), but there were no significant differences in the scores of confront coping mode between two groups (P>0.05). The scores of treatment compliance from high to low in order were as followed: medications compliance, regular examination compliance, lifestyle improving compliance. Multiple regression analysis showed that the treatment compliance had a relationship with age, education level, duration of hospitalization, frequency of hospitalization, scores of confront, avoidance, and surrender coping modes. Conclusions: According to influencing factors of treatment compliance and its relationship with coping styles, nurses should take effective measure to improve patient's compliance, thus enhance treatment outcome.
【Key Word】 Pulmonary tuberculosis; Coping style; Treatment compliance
【中图分类号】R385 【文献标识码】B 【文章编号】1005-0515(2011)07-0285-01
肺结核是一种严重危害人类心身健康的慢性传染性疾病，随着社会老年化进程的加快，使老年肺结核患者的人数逐渐增加，严重危害老年人心身健康。根据流行病学调查显示[1]，老年肺结核患病率高，60岁以上老年人群的患病率约为44.8%。60岁以上患者不规则服药率约为61.4%。许多患者不能按照医务人员的指导坚持服药治疗，定期门诊复查等[2]。有研究表明，结核患者的依从性与结核的复发率呈明显的正相关[3]。本研究旨在探讨老年肺结核患者应对方式与治疗依从性的关系，以期为提高老年肺结核患者的治疗依从性和治疗效果，预防复发，减少疾病传播提供参考依据，现报道如下：
1 对象与方法
1.1 研究对象:在我科2009年5月至2010年8月在我院住院老年肺结核患者 ......
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