Chen YL, Xie YQ, Wei MY, Xu DM. Clinical effects of detailed nursing management interventions on medication adherence and disease perception in patients with drug-resistant tuberculosis. World J Clin Cases 2024; 12(20): 4191-4198 [PMID: 39015906 DOI: 10.12998/wjcc.v12.i20.4191]
Corresponding Author of This Article
Dong-Mei Xu, MM, Nurse, Nursing Department, The First People’s Hospital of Tianmen in Hubei Province, No. 1 East Renmin Avenue, Tianmen 431700, Hubei Province, China. 18972189235@163.com
Research Domain of This Article
Nursing
Article-Type of This Article
Clinical Trials Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 16, 2024; 12(20): 4191-4198 Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4191
Clinical effects of detailed nursing management interventions on medication adherence and disease perception in patients with drug-resistant tuberculosis
Yan-Li Chen, Ya-Qin Xie, Dong-Mei Xu, Nursing Department, The First People’s Hospital of Tianmen in Hubei Province, Tianmen 431700, Hubei Province, China
Ming-Yue Wei, Infectious Disease Department, The First People’s Hospital of Tianmen in Hubei Province, Tianmen 431700, Hubei Province, China
Author contributions: Chen YL and Xie YQ were responsible for the study conception and design, data analysis and interpretation, and manuscript drafting; Xu DM and Wei MY critically revised the article for important intellectual content; All authors reviewed and approved the final version to be published.
Institutional review board statement: The study was reviewed and approved by the First People’s Hospital of Tianmen in Hubei Province Institutional Review Board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors declare no potential conflicting interests related to this paper.
Data sharing statement: No additional data are available.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dong-Mei Xu, MM, Nurse, Nursing Department, The First People’s Hospital of Tianmen in Hubei Province, No. 1 East Renmin Avenue, Tianmen 431700, Hubei Province, China. 18972189235@163.com
Received: April 10, 2024 Revised: May 16, 2024 Accepted: May 29, 2024 Published online: July 16, 2024 Processing time: 81 Days and 18.1 Hours
Abstract
BACKGROUND
Tuberculosis (TB) is a chronic respiratory infectious disease that considerably jeopardizes human health, and there is no effective vaccine suitable for its prevention in the entire population.
AIM
To investigate the promotion of medication adherence and disease cognition in patients with drug-resistant (DR-)TB using detailed nursing management.
METHODS
In total, 114 patients with DR-TB who were diagnosed and treated at our hospital between January 2019 and January 2023 were included in this study. Patients in the control group (n = 57) were managed with conventional nursing care, while those in the observation group (n = 57) were managed with detailed nursing care. Medication adherence, disease awareness scores, medication safety, and nursing satisfaction were compared between the two groups after the intervention.
RESULTS
The post-intervention medication compliance rate was 91.23% in the observation group and 75.44% in the control group, with the former being 15.79% higher than the latter (P < 0.05). There was no statistically significant difference in the disease awareness scores between the two groups before the intervention; the disease awareness scores of the observation group were significantly higher than those of the control group after the intervention (P < 0.05). The incidence of gastrointestinal reactions, joint swelling and pain, hearing loss, electrolyte disorders, and liver and kidney function abnormalities were lower in the observation group than those in the control group. The total nursing satisfaction of the observation group was higher than that of the control group (P < 0.05).
CONCLUSION
Implementation of detailed nursing management for patients with DR-TB can effectively improve medication adherence, enhance awareness of the disease, ensure safety of medication, and improve satisfaction with nursing care.
Core Tip: To investigate the promotion of medication adherence and disease cognition in patients with drug-resistant tuberculosis using detailed nursing management. After the intervention, the results showed that the implementation of detailed nursing management for patients with drug-resistant tuberculosis can effectively improve patients’ medication adherence, enhance their awareness of the disease, ensure the safety of medication, and improve their satisfaction with nursing care, which is worthy of promotion and application in clinical practice.
