Application Research of Detailed Nursing of Tuberculous Meningitis Patients

临床护理研究 Pub Date : 2022-09-29 DOI:10.26689/jcnr.v6i5.4354

W. Yuan, Dandan Yang, Zhang Li, Chuo Guo, Xinyi Ye, Min Zheng

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Abstract

Objective: To explore the application effect of detailed nursing in tuberculous meningitis nursing. Methods: A total of 52 patients with tuberculous meningitis who were admitted to our hospital from May 2019 to February 2022 were selected as the research objects, and divided into 25 patients in the control group and 27 patients in the study group according to the random table method, and the compliance, quality of life, recurrence, nursing satisfaction, depression, anxiety and PSQI scores of the two groups were observed and analyzed. Results: In the study group, the number of patients with complete compliance, partial compliance and non-compliance were 13, 11 and 3, respectively, and the compliance rate was 88.89%. In the control group, the number of patients with complete compliance, partial compliance and non-compliance were 11, 5 and 9, respectively, and the compliance rate was 67.86 %, and P < 0.05 was considered statistically significant. The quality-of-life score of the control group was 48.36 ± 2.24, which was lower than that of the study group, 50.23 ± 2.12, (P < 0.05). The rate of recurrence of the control group was 36.00%, which was significantly higher than 7.41% in the study group (P < 0.05). There was no significant statistical difference between the SAS, SDS, and PSQI scores of the two groups before nursing, (P > 0.05). After nursing, both groups showed a decrease in SDS and SAS scores, with the study group showing significantly lower scores than the control group (P < 0.001). Besides, the PSQI dimension scores and total score in the study group were lower than those in the control group (P < 0.001). Moreover, the nursing satisfaction of the patients in the study group was significantly higher than that in the control group (93.02% > 71.79%), (P < 0.05). Conclusion: A full range of detailed care is not only helpful for accurate diagnosis and treatment of patients, but also helps to create a satisfactory hospital environment for patients. Results from this study showed that detailed nursing care for patients with tuberculous meningitis shows a significant positive effect and should be applied in clinical practices.

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结核性脑膜炎详细护理的应用研究

目的:探讨细致护理在结核性脑膜炎护理中的应用效果。方法:选取2019年5月至2022年2月我院收治的结核性脑膜炎患者52例作为研究对象，按随机表法分为对照组25例和研究组27例，观察分析两组患者的依从性、生活质量、复发、护理满意度、抑郁、焦虑、PSQI评分。结果:研究组完全依从13例，部分依从11例，不依从3例，依从率为88.89%。对照组完全依从、部分依从、不依从患者分别为11例、5例、9例，依从率为67.86%，P < 0.05有统计学意义。对照组患者的生活质量评分为48.36±2.24，低于研究组患者的50.23±2.12，差异有统计学意义(P < 0.05)。对照组复发率为36.00%，显著高于研究组的7.41% (P < 0.05)。两组患者护理前SAS、SDS、PSQI评分比较，差异均无统计学意义(P < 0.05)。护理后，两组患者SDS、SAS评分均下降，研究组得分显著低于对照组(P < 0.001)。研究组的PSQI维度得分和总分均低于对照组(P < 0.001)。研究组患者的护理满意度显著高于对照组(93.02% bb0 71.79%)，差异有统计学意义(P < 0.05)。结论:全方位的细致护理不仅有助于患者的准确诊断和治疗，而且有助于为患者创造满意的医院环境。本研究结果表明，对结核性脑膜炎患者进行详细护理具有显著的积极作用，应在临床实践中加以应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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临床护理研究

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