基于全疾病周期的健康管理模式在耐多药肺结核患者管理中的应用研究

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Abstract Objective To explore the application value of health management model based on the whole disease cycle in the management of patients with multidrug-resistant tuberculosis(MDR-TB).Methods A total of 60 patients with MDR-TB admitted to the Ganzhou Fifth People′s Hospital from July 2019 to July 2020 were selected as research subjects and divided into two groups according to random number table method,with 30 patients in each group.The control group was given routine nursing,and the observation group was given health management mode based on the whole disease cycle in addition to routine nursing.The rehabilitation effect,treatment compliance,quality of life and nursing satisfaction were compared between the two groups.Results The duration of treatment and hospitalization time in the observation group were(471.58±12.23)and(14.18±2.05)d,respectively,which were shorter than those in the control group of(512.23±18.47)and(19.43±3.27)d,the average hospitalization cost of the observation group was(1389.47±102.56)yuan,which was lower than that of the control group of(1856.38±125.45)yuan,the differences were statistically significant(P<0.05).The treatment compliance of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in quality of life questionnaire-30(QOL-30)and Newcastle scale of nursing satisfaction(NSNS)scores between the two groups(P>0.05).After intervention,the QOL-30 and NSNS scores of the observation group were(99.46±9.58)and(78.34±6.15)points,respectively,which were higher than those of the control group of(89.34±9.11)and(68.39±5.22)points,with statistical significances(P<0.05).Conclusion Health management model based on the whole disease cycle can improve the compliance of patients with MDR-TB,shorten treatment duration,reduce medical costs,and improve their quality of life and satisfaction with medical staff.

Key words： Multidrug-resistant tuberculosis Health management model based on the whole disease cycle Treatment compliance Quality of life

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	WANG Yan
	WANG Fang-fang
	LYU Yan-qing

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WANG Yan,WANG Fang-fang,LYU Yan-qing. Application study on health management model based on whole disease cycle in management of patients with multidrug-resistant tuberculosis[J]. 中国当代医药, 2021, 28(27): 202-205.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I27/202

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