摘要目的:探究共情护理联合多维度健康教育指导对肺结核患者生活质量及不良情绪的影响。方法:选取烟台市奇山医院2017年5月至2019年9月收治的肺结核患者198例，根据随机数字表法将其分为两组。常规组99例，年龄（44.96±11.08）岁，给予多维度健康教育指导；试验组99例，年龄（45.14±11.15）岁，在常规组的基础上实施共情护理。比较两组生活质量量表（QOL）评分、汉密尔顿焦虑量表（HAMA）评分、依从率以及不良事件发生率。采用 χ2检验、 t检验进行统计分析。 结果:护理干预前试验组与常规组QOL评分分别为（22.85±4.35）分、（22.85±4.96）分，护理干预后分别为（46.95±6.85）分、（40.54±5.32）分，两组护理后QOL评分均高于护理前，且试验组QOL评分高于常规组（ t=7.354， P<0.001）。护理干预前试验组与常规组HAMA评分分别为（35.82±3.85）分、（35.06±3.72）分，护理干预后分别为（21.10±2.58）分、（26.85±2.14）分，护理干预后两组HAMA评分均降低，且试验组生活质量HAMA评分低于常规组（ t=17.068 ，P<0.001）。护理1周后，试验组依从率［92.93%（92/99）］高于常规组［80.81%（80/99）］（ χ2=6.373， P=0.012）。试验组不良事件发生率［3.03%（3/99）］低于常规组［12.12%（12/99）］（ χ2=5.843， P=0.016）。 结论:共情护理联合多维度健康教育指导能够改善肺结核患者的生活质量及不良情绪，提高患者依从率，有效降低护理期间不良事件的发生。

abstractsObjective:To explore the influence of empathic nursing combined with multidimensional health education guidance on the quality of life and bad moods of patients with pulmonary tuberculosis.Methods:One hundred and ninety-eight patients with pulmonary tuberculosis treated at Qishan Hospital from May 2017 to September 2019 were selected, and were divided into a conventional group, (44.96±11.08) years old, and an experimental group, (45.14±11.15) years old, by the random number table method, with 99 cases in each group. The conventional group were given multidimensional health education guidance; in addition, the experimental group were given empathic nursing. The scores of the Quality of Life Scale (QOL) and Hamilton Anxiety Scale (HAMA), compliance rates, and incidences of adverse events were compared between the two groups. χ2 and t tests were applied. Results:The scores of QOL of the experimental group and the conventional group were (22.85±4.35) and (22.85±4.96) before the nursing intervention, and were (46.95±6.85) and (40.54±5.32) after the nursing intervention; the scores in both groups were lower after than before the treatment; the score in the experimental group was lower than that in the control group after the nursing intervention ( t=7.354, P<0.001). The scores of HAMA of the experimental group and the conventional group were (35.82±3.85) and (35.06±3.72) before the nursing intervention, and were (21.10±2.58) and (26.85±3.14) after the nursing intervention; after the nursing intervention, the scores of HAMA in the two groups were lower than those before the nursing intervention; the score of the experimental group was lower than that of the conventional group ( t=17.068 , P<0.001). One week after the nursing intervention, the compliance rate of the experimental group was higher than that of the conventional group [92.93% (92/99) vs. 80.81% (80/99); χ2=6.373, P=0.012]. The incidence of adverse events in the experimental group was lower than that in the conventional group [3.03% (3/99) vs. 12.12% (12/99); χ2=5.843, P=0.016]. Conclusion:Empathic nursing combined with multidimensional health education guidance for patients with pulmonary tuberculosis can improve their quality of life, adverse moods, and compliance rate, and effectively reduce the occurrence of adverse events during nursing.