老年肺结核患者应对方式与治疗依从性相关性研究.docVIP

老年肺结核患者应对方式与治疗依从性相关性研究 　　【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（P0.05）。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 0.05). 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 patients 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