| Objective:This thesis will study the female patients with drug-resistant TB:to know the psychological problems and coping modes; to review the psychological health status; to explore the health education; to offer the scientific evidence for the treatment, nursing and rehabilitation.Methods:This study is a descriptive research, adopts the convenience sampling method to select 160 female patients with drug-resistant TB as the research objectives at 4 TB departments in Hebei Chest Hospital from January 2014 to August 2014. The duty nurses are taken the charge of releasing the questionnaires, including "General Conditions Questionnaire for Female Patients with Drug-resistant TB", "Drug-resistant TB patients symptom self-evaluation scale (SCL-90)", and "Medical Coping Questionnaire (MCMQ) in Chinese" which are used for reviewing patients’psychological problems and coping modes; Next, the control group adopts the traditional health education while the experimental group applies " The Effect Evaluation of Health Education for Patients with Drug-resistant TB"; Finally, the author reviews the differences with "Medical Coping Questionnaire (MCMQ) in Chinese" and "The Effect Evaluation of Health Education for Patients with Drug-resistant TB" As to the collected data, the author uses PEMS3.1 and SPSS 16.0 statistical software for data processing and analysis, and adopts statistical description, chi-square test, t-test along with rank sum test.Results:First,160 questionnaires have been released for this study, in which 152 ones are valid. There are 76 cases in experimental group and contrast group respectively, so the effective returns-ratio is 92%.Second, the comparing results between the two groups are as follows: 65.79%patients have more than 18-month medical history; 86.84% earn less than 3000-Yuan per month; 72.37% come from rural area; 57.24% patients are young adults; college graduates or above account for 23.68%. However, there is no statistical significance in terms of ages, monthly wage, medical history, hesitant, marital status and education degree (P>0.05), which are not comparable.Third, the result of the symptom self-rating scale (SCL-90) of the drug-resistant TB patients is:the scores of 152 female drug-resistant TB patients on somatization, sensitivity of interpersonal relationship, depression, anxiety, hostility and bigotry are higher than the national norms, and the differences all have statistical significance (P<0.05).Fourth, the results of the coping modes questionnaire of the 152 female drug-resistant TB patients show that:comparing the MCMQ scores with the national norms, scores on "facing" coping modes are lower than the national norm, and the difference has a statistical significance(P<0.05); the scores on "avoiding" and "surrendering" coping modes are higher than the national norms, and both the differences have a statistical significance (P<0.05) Before the health education, there is no statistical significant difference (P>0.05) between the experimental and the control group on the three coping modes; after the health education, the experimental group has higher scores on the "facing" coping modes and a lower scores on the "avoiding" and "surrendering" coping modes than control group, so that both the differences have a statistical significance (P<0.05); the difference between the scores of the control group before and after health education have no statistical significance (P>0.05); After the health education, the score of the experimental group on "facing" coping modes are higher than before the health education. Meanwhile, the scores on "avoiding" and "surrendering" coping modes are lower than before the health education. And the differences all have a statistical significance (P<0.05)Fifth, the evaluation effect of health education:the comparison between the groups evolution before and after health education in the respect of heath knowledge, belief and heavier results shows no statistical significance (P>0.05) (except for the items like the independence on family members, bathroom activities and maintenance of oral hygiene); The differences between the groups before and after health education in light of disease and examination knowledge as well as chemotherapy results has significance in statistics (P<0.05), While the rest evaluation results have no significant difference in statistics (P>0.05); For the experimental group before and after health education, the evaluation effect of the three aspects---health knowledge, belief and behavior have statistical significance(except for the items like the independence on family members, bathroom activities and maintenance of oral hygiene) (P<0.05)Conclusion:First, female patients with drug-resistant TB have psychological health status on different levels, mainly in the part of somatization, interpersonal relationship sensitivity, depression, anxiety, hostility and paranoid. In medical science, female patients with drug-resistant TB are more likely to adopt "avoiding" and "surrendering" coping modes compared with "facing" coping modes. And it is indispensable for female patients with drug-resistant TB to have psychotherapy and health education in nursing care.Second, the experimental significance of the health education is to improve the medical coping modes, popularize the health knowledge, build the health confidence, and promote the health behaviorThird, the guidelines of the health education in this experiment are scientific, systematic, standardized and valid for the female patients with drug-resistant TB, which will be referred to clinical nursing or regarded as the relevant teaching method. |
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