【】目的 研究个性化多元督导模式对肺结核患者疾病认知及遵医行为的影响。方法 选取2022年1月—2022年12月本院收治的95例肺结核患者,根据不同患者的干预方法,将患者分为常规干预组(常规基础护理干预)40例和多元督导组(在常规干预组的基础上使用个性化多元督导模式对患者进行干预)55例,两组均干预3个月。在干预前后,比较两组患者疾病认知度评分,干预后比较两组患者的遵医行为(规则服药率、规定疗程完成率、规定锻炼完成率、定期复查率)。结果 与干预前相比,常规干预组和多元督导组认知度评分均升高,差异具有统计学意义(P<0.05),干预后,多元督导组认知度评分明显高于常规干预组,差异具有统计学意义(P<0.05)；干预后,多元督导组规则服药率、规定疗程完成率、规定锻炼完成率和定期复查率均高于常规干预组,差异具有统计学意义(P<0.05)。结论 个性化多元督导模式能提高肺结核患者疾病认知及遵医行为。

Objective? To study the effects of individualized multiple supervision mode on disease cognition and treatment compliance in patients with pulmonary tuberculosis. Methods? A total of 95 patients with pulmonary tuberculosis admitted to the hospital were enrolled between January and December 2022. According to different intervention methods, they were divided into routine intervention group (40 cases, routine basic nursing) and multiple supervision group (55 cases, individualized multiple supervision mode on basis of routine intervention group). All were intervened for 3 months. The scores of disease cognition before and after intervention, and treatment compliance (regular medication rate, completion rates of prescribed course and exercise, regular reexamination rate) after intervention in the two groups were compared. Results? After intervention, scores of disease cognition in both groups were increased (P<0.05), which were significantly higher in multiple supervision group than routine intervention group (P<0.05). After intervention, regular medication rate, completion rates of prescribed course and exercise, and regular reexamination rate in multiple supervision group were higher than those in routine intervention group (P<0.05). Conclusion? Individualized multiple supervision mode can improve disease cognition and treatment compliance in patients with pulmonary tuberculosis.