正念减压疗法对耐多药肺结核病患者精神状况、生活质量及服药依从性的影响

摘要

目的:分析正念减压疗法对耐多药肺结核病 (MDR-TB) 患者精神状况、生活质量及服药依从性的影响.方法:选取2015年10月-2017年9月本院收治的MDR-TB患者82例.按照就诊序号将其分为观察组 (单序号) 和对照组 (双序号), 各41例.对照组按照MDR-TB常规方式进行护理, 观察组在对照组基础上实施正压减压疗法.比较两组护理前后的精神状况 (SAS、SDS评分) 、生活质量及服药依从性.结果:护理后, 观察组SAS、SDS评分均低于对照组, 生活质量各维度评分均高于对照组, 比较差异均有统计学意义 (P<0.05) ;且观察组服药依从性为97.56％, 高于对照组的85.37％ (P<0.05) .结论:正念减压疗法能有效改善MDR-TB患者的精神状况和生活质量, 并提高服药依从性.%Objective:To analyze the effect of mindfulness decompression therapyon mental status, quality of life and medication adherence in patients with multipledrug resistance tuberculosis (MDR-TB).Method:A total of 82 patients with MDR-TB admitted to our hospital from October 2015 to September 2017 were selected.According to the serial number, they were divided into observation group (single serial number) and control group (double serial number), 41 cases in each group.The control group received routine nursing according to MDR-TB, while observation group received mindfulness decompression therapy on the basis of control group.The mental status (SAS, SDS score) and quality of life before and after nursing, and drug compliance between two groups were compared.Result:After nursing, the SAS and SDS scores of observation group were lower than those of control group, and the scores of each dimension of quality of life in observation group were higher than those of control group, the differences were statistically significant (P<0.05).The compliance of observation group was 97.56％, which was higher than 85.37％of control group (P<0.05).Conclusion:Mindfulness decompression therapy can effectively improve mental status and quality of life in MDR-TB patients, and improve drug compliance.