Medical College of Nantong University, Nantong, Jiangsu, China.
The Sixth People's Hospital of Nantong, Nantong, Jiangsu, China.
Medicine (Baltimore). 2023 Sep 8;102(36):e34991. doi: 10.1097/MD.0000000000034991.
To develop and evaluate an early rehabilitation nursing program for patients with pulmonary tuberculosis to improve their exercise endurance, pulmonary function, and self-care ability, promote their rehabilitation, improve their quality of life, and explore the construction and application of early rehabilitation nursing program. From March 2021 to August 2022, 104 patients with pulmonary tuberculosis in the improvement stage were recruited and randomly assigned to an intervention group (n = 52) and a control group (n = 52). Exercise endurance was assessed before and 12 weeks after the nursing program, and the groups were compared. Changes in pulmonary function were also analyzed. The exercise of self-care agency scale, self-rating depression scale, self-rating anxiety scale, and generic quality of life inventory-74 were used to assess differences in patients' quality of life. Patients in the intervention group performed significantly better than those in the control group in the 6-minute walking test, and had significantly higher arterial blood oxygen partial pressure and significantly lower arterial partial pressure of carbon dioxide after the intervention (P < .001). After the intervention, the forced vital capacity and forced expiratory volume in 1 second in the intervention group were significantly higher than those in the control group (P < .001). After the intervention, the scores for health knowledge (P < .001), self-care skills (P = .001), self-concept (P < .001) and self-care responsibility (P = .002) of patients in the intervention group were significantly higher, and the self-rating depression scale, self-rating anxiety scale, and generic quality of life inventory-7 scores were significantly lower in the intervention group than in the control group (P < .001). This study demonstrates the clinical value of early rehabilitation nursing during the improvement period in patients with pulmonary tuberculosis.
为了开发和评估一种肺结核患者早期康复护理方案，以提高其运动耐力、肺功能和自我护理能力，促进康复，提高生活质量，并探索早期康复护理方案的构建和应用。2021 年 3 月至 2022 年 8 月，招募了 104 例处于改善期的肺结核患者，随机分为干预组（n = 52）和对照组（n = 52）。在护理方案实施前和 12 周后评估运动耐力，并对两组进行比较。还分析了肺功能的变化。使用自我护理能力量表、抑郁自评量表、焦虑自评量表和通用生活质量量表-74 评估患者生活质量的差异。干预组患者在 6 分钟步行试验中表现明显优于对照组，干预后动脉血氧分压明显升高，动脉二氧化碳分压明显降低（P <.001）。干预后，干预组患者的用力肺活量和 1 秒用力呼气量明显高于对照组（P <.001）。干预后，干预组患者的健康知识评分（P <.001）、自我护理技能评分（P =.001）、自我概念评分（P <.001）和自我护理责任感评分（P =.002）明显升高，抑郁自评量表、焦虑自评量表和通用生活质量量表-7 评分明显低于对照组（P <.001）。本研究表明，肺结核患者在改善期进行早期康复护理具有临床价值。
