Construction and application of tuberculosis medical and nursing integration cooperation model.
Jin Zhang, Xiao-Ying Hu, Hong Ye and 2 others
PMID 36300832WHAT IT FOUND
Tuberculosis patients in a doctor-nurse integration model had higher full medication compliance and lower non-compliance than patients receiving routine nursing care.
The study cannot prove the model caused these changes.
Key findings
01Full medication compliance was 66.67% in the observation group and 50.00% in the control group. Non-compliance was 3.33% in the observation group and 23.33% in the control group.
02Patients in the observation group had higher awareness of basic TB knowledge, prevention, diagnosis, treatment medication, and self-care than control patients.
03Outpatient appointment waiting time and hospitalization time were lower in the observation group than in the control group.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was retrospective and the authors state no causal inferences could be made. The sample size was small and important confounding variables were not considered. Patients with cognitive impairment, underlying diseases, severe complications, or multi-drug-resistant TB were excluded. Several outcome measures used self-designed questionnaires. Staff cooperation, doctor satisfaction, and nurse job satisfaction outcomes describe workforce experiences rather than patient care.
Declared interests
The authors declared no personal, financial, commercial, or academic conflicts of interest.
The easy way to misread this
Do not conclude that this model caused better TB outcomes or that it should replace routine care for all TB patients. The study was retrospective, small, excluded severe complications and drug-resistant TB, and the authors state that no causal inferences could be made.