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目的:分析认知行为干预疗法对青少年肺结核初治者临床疗效的影响。方法:将96例青少年(14~22岁)肺结核初治患者,采用随机分组方式分为:干预组50例和对照组46例;两组均给予正规抗痨治疗和健康教育指导;干预组辅助给予认知行为干预治疗2疗程。定期复查观其治疗依从性,以及痰涂、胸部影像等医学疗效及用药不良反应事件再次住院率、复发率等标准判断疗效。结果:两组患者的治疗疗效:医学疗效及依从性、再次住院率、复发率等多方面比较有显著性差异(P<0.01)。结论:对青少年初治肺结核者给予适当认知行为干预治疗对肺结核的治疗疗效及提高患者生活质量均有好处,值得推广。
Objective: To analyze the effect of cognitive behavioral intervention therapy on the clinical efficacy of primary treatment of adolescent tuberculosis. Methods: A total of 96 adolescents (14-22 years old) with initial treatment of pulmonary tuberculosis were randomly divided into intervention group (50 cases) and control group (46 cases). Both groups received regular anti-tuberculosis therapy and health education guidance. Intervention group Give cognitive behavioral interventions for 2 courses of treatment. Regular review of the treatment compliance, as well as sputum, chest imaging and other medical effects and adverse events such as re-hospitalization rate, relapse rate and other criteria to determine the efficacy. Results: The curative effect of two groups of patients: medical efficacy and compliance, re-hospitalization rate, recurrence rate and other aspects were significantly different (P <0.01). Conclusion: It is worth to popularize the treatment of tuberculosis and the improvement of quality of life in patients with newly diagnosed TB in adolescents.