结核科床头隔离标识和家属手册在飞沫护理中的应用
上海市肺科医院
目的 探讨“床头隔离标识+家属手册”干预模式对肺结核患者护理效果的影响。方法 纳入2024年9月至2025年9月我院结核科收治肺结核患者92例,配套纳入病区护理人员24名,采用随机数表将患者随机分为干预组(n=46)和对照组(n=46),对应分配护理人员每组各12名。对照组实施常规飞沫隔离措施,干预组在此基础上实施“床头隔离标识+家属手册”干预模式。同步开展标准化护理人员专项培训。观察两组基础理论掌握度、护理技能达标率、人文关怀实践率、职业精神表现度。结果 干预组护理人员基础理论掌握度提升率显著高于对照组(P<0.001)。6项核心操作平均达标率显著高于对照组(P=0.003),其中痰液收集达标率差异最显著(P<0.05)。患者HCAI量表总分(52.3±3.7)分,达标率91.3%,高于对照组(41.6±4.2)分,达标率65.2%(P<0.05)。综合得分(87.6±5.1)分,显著高于对照组的(76.3±6.4)分(P<0.001),患者评价维度差异最显著(P<0.001)。结论 “床头隔离标识+家属手册”干预模式可有效提高肺结核患者及其家属对防控知识的掌握,提升护理技能、人文关怀水平及职业精神表现,值得临床推广。
Objective To explore the impact of the intervention model of “bedside isolation sign+family handbook” on the nursing effect of tuberculosis patients. Methods 92 patients with pulmonary tuberculosis admitted to our tuberculosis department from September 2024 to September 2025 were included, along with 24 nursing staff in the ward. The patients were randomly divided into an intervention group(n=46) and a control group(n=46) using a random number table, with 12 nursing staff assigned to each group. The control group implemented routine droplet isolation measures, while the intervention group implemented the(bedside isolation sign+family handbook)” intervention mode on this basis. Simultaneously carried out specialized training for standardized nursing staff. The observation indicators included the mastery of two basic theories, the compliance rate of nursing skills, the practice rate of humanistic care, and the performance of professional spirit. Results The improvement rate of basic theoretical mastery in the nrusing staff of intervention group was significantly higher than that in the control group(P<0.001). The average compliance rate of the six core operations was significantly higher than that of the control group(P=0.003), with the most significant difference in the compliance rate of sputum collection(P<0.05). The total score of HCAI scale was(52.3±3.7) points, with a compliance rate of 91.3%, which was higher than that of the control group(41.6±4.2) points of the patient, with a compliance rate of 65.2%(P<0.05). The comprehensive score was(87.6±5.1) points, significantly higher than the control group's(76.3±6.4) points(P<0.001), and the difference in patient evaluation dimensions was the most significant(P<0.001). Conclusion The intervention model of “bedside isolation sign+family handbook” can effectively improve the mastery of prevention and control knowledge among tuberculosis patients and their families, enhance nursing skills, humanistic care levels, and professional spirit performance, and is worthy of clinical promotion.
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| 文章编号 | 2026-06-058(期号内编号) |
|---|---|
| 栏目 | 护理学研究 |
| 作者 | 叶婉菲 |
| 作者单位 | 上海市肺科医院 |
| 中图分类号 | R473.5 |
| 卷期页码 | 2026, 2(06): 229-232 |
| 发布时间 | 2026-09-15 |
| 出版时间 | 2026-09-15 |
| 引用信息 | [1]叶婉菲.结核科床头隔离标识和家属手册在飞沫护理中的应用[J].疾病预防与控制,2026,2(06):229-232. |
| 全文地址 | 在知网查看该文(kns.cnki.net) |
| 数据抓取时间 | 2026-10-15T03:31:56 |