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目的探讨电话随访的护理干预对职业性尘肺病患者出院后遵医行为的影响。方法将46例病情好转出院的职业性尘肺病患者,随机分成干预组和对照组,以电话沟通方式对干预组患者进行跟踪、督导,对两组患者的遵医行为效果进行评价。结果干预组“不抽烟喝酒”“呼吸功能锻炼”“耐寒锻炼”“运动锻炼”行为的养成率高于对照组,差异均有统计学意义(P<0.05)。干预组在不同时间节点的总体遵医行为率均高于对照组,差异均有统计学意义(P<0.05)。但两组患者遵医行为率均有随时间降低的趋势。结论护士定期电话随访,可提高患者遵医行为,对加强尘肺病患者的治疗效果,提高生活质量,具有积极作用。
Objective To investigate the impact of telephone follow-up nursing intervention on compliance of patients with occupational pneumoconiosis after discharge from hospital. Methods Forty-six patients with occupational pneumoconiosis who were hospitalized and discharged were randomly divided into intervention group and control group. The patients in intervention group were followed up and supervised by telephone, and the compliance effect of two groups was evaluated. Results The rate of development of intervention group was higher than that of control group (P <0.05), and the difference was statistically significant (P <0.05) . The overall compliance rate of intervention group at different time points were higher than that of control group, the difference was statistically significant (P <0.05). However, the compliance rate of patients in both groups decreased with time. Conclusion Regular telephone follow-up by nurses can improve patients’ compliance with medical practices and has a positive effect on enhancing the treatment effect and improving the quality of life of patients with pneumoconiosis.