Sukhova E V
Probl Tuberk Bolezn Legk. 2004(12):35-40.
To make the outcomes of treatment in patients with tuberculosis better, a complex action system has been developed, by using the data obtained from studies of the clinical, psychological, and social characteristics. Four hundred and sixty four patients (211 new cases of tuberculosis and 253 with fibrocavernous tuberculosis) were examined. The examination was comprehensive and involved a package of psychological tests and a special questionnaire survey. Analysis of the results of the study made it possible to develop a complex action system for a patient with tuberculosis, which was called the "Phthisia-School". It includes the provision of positive information, regulated drug therapy, and a corrective package aimed at altering the patient's attitude towards to his/her disease, intent-to-treat development, enhancing systemic and psychological adaptation. There was a statistically significant increase in the efficiency of treatment, a tendency towards harmonization of the type of the patient's attitude towards his/her disease, a change in this attitude, treatment, personal hygiene rules, untraditional treatments, an increase in the discipline of treatment and confidence in good prognosis.
为了改善肺结核患者的治疗效果,利用从临床、心理和社会特征研究中获得的数据,开发了一个综合行动系统。对464名患者(211例新肺结核病例和253例纤维空洞性肺结核患者)进行了检查。检查是全面的,包括一系列心理测试和一项特殊问卷调查。对研究结果的分析使得为肺结核患者开发一个综合行动系统成为可能,该系统被称为“肺结核学校”。它包括提供积极信息、规范药物治疗以及一套旨在改变患者对自身疾病态度、促进意向性治疗发展、增强全身和心理适应能力的矫正方案。治疗效率有统计学意义的提高,患者对自身疾病态度类型趋于协调,这种态度、治疗、个人卫生规则、非传统治疗方法发生了变化,治疗的纪律性增强,对良好预后的信心增加。