Application of standardized hierarchical linkage health education in patients with drug-resistant pulmonary tuberculosis
标准化层级联动健康教育在耐药肺结核患者中的应用

摘要

目的 探究标准化层级联动健康教育在耐药肺结核患者中的应用效果。方法 在本院2024年8月-2025年9月收治的耐药肺结核患者中选取符合研究条件的74例，采取随机对照方法，将患者分为研究组（n=37）和对照组（n=37）。对照组采用常规护理干预，重点落实健康教育，研究组在对照组基础上应用标准化层级联动方法，对比护理效果。结果 两组患者在疾病治疗、控制过程中的依从性较好，研究组患者的治疗依从性更高（91.89%＞75.68%），P＜0.05。两组患者在疾病治疗过程中的不良反应发生情况均得到一定控制，研究组患者的不良反应发生情况控制效果更好（10.81%＜24.32%），P＜0.05，差异具有统计学意义。结论 在对耐药肺结核患者实施护理的过程中，通过标准化层级联动健康教育，能够进一步提高患者对肺结核疾病和当前自身状态的认知，引导患者在治疗、护理阶段做好配合，保证整个治疗、护理过程的顺利性，持续改善患者身体状态。

Abstract

Objective To explore the application effect of standardized hierarchical linkage health education in patients with drug-resistant pulmonary tuberculosis.
Methods 74 patients with drug-resistant pulmonary tuberculosis who were admitted to our hospital from August 2024 to September 2025 and met the research conditions were selected. A random control method was adopted, and the patients were divided into the study group (n=37) and the control group (n=37). The control group received routine nursing intervention, with a focus on health education. The study group applied the standardized hierarchical linkage method on the basis of the control group, and the nursing effects were compared.
Results Both groups of patients had good compliance in disease treatment and control process. The treatment compliance of patients in the study group was higher (91.89% > 75.68%), P < 0.05. The occurrence of adverse reactions in the disease treatment process of both groups of patients was controlled to a certain extent, and the control effect of adverse reactions in the study group was better (10.81% < 24.32%), P < 0.05, and the difference was statistically significant.
Conclusion   In the process of nursing patients with drug-resistant pulmonary tuberculosis, through standardized hierarchical linkage health education, it can further improve patients' cognition of pulmonary tuberculosis and their current state, guide patients to cooperate well in the treatment and nursing stages, ensure the smoothness of the entire treatment and nursing process, and continuously improve the physical condition of patients.