目的：探讨强化自我护理管理措施对结核患者行为及病情的影响。方法选择2013年1月-2014年1月期间该结核病医院收治的肺结核患者134例，根据双盲法将其平均分为研究组与对照组，每组各67例。对照组采取常规护理措施，研究组在此基础上强化本组患者的自我护理管理意识。结果研究组遵医行为、复查时间、疾病知晓、合理用药、戒烟戒酒的实施及改善率显著高于对照组（P<0.05）。研究组患者痰菌转阴率、病灶吸收率及症状改善率分别为77.61%、77.61%、83.58%，均高于对照组的59.70%、59.70%、61.19%（P<0.05）。结论强化自我护理管理措施不仅对肺结核患者的遵医行为、合理用药、配合全方位健康宣教、良好的日常行为习惯具有积极的促进作用，同时还可以有效提高疾病的恢复效果，改善症状表现。%Objective To investigate self-care management to strengthen measures on the behavior of tuberculosis patients and disease. Methods January 2013- January 2014 period TB patients in our hospital treated 134 cases of tuberculosis, according to a double-blind study were divided into two groups, each group 67 cases. The control group received routine nursing care, the study group to strengthen self-care management awareness in this group of patients on this basis. Results The study group compli-ance behavior, review time, the disease known, rational drug use, smoking and improve the rate of implementation of abstinence was significantly higher (P<0.05). Study patients sputum negative rate, focus absorption rate and symptom improvement rates were 77.61%, 77.61%, 83.58%, were higher than the 59.70%, 59.70%, 61.19%(P<0.05). Conclusion Strengthen self-care management practices not only for tuberculosis patients' compliance to treatment, rational use of drugs, with comprehensive health education, good daily habits have a positive role in promoting, but also can improve the recovery effect of the disease, improve symptoms.
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