结核病与肺部健康杂志 ›› 2014, Vol. 3 ›› Issue (1): 46-50.doi: 10.3969/j.issn.2095-3755.2014.01.010

• 论著 • 上一篇    下一篇

不同护理方式对纤维支气管镜球囊扩张术治疗结核性支气管狭窄的影响

韦燕芳,邝浩斌,马志明,傅红梅,谢艺开,廖雅怡,谭肖燕   

  1. 510095 广州市胸科医院结核科
  • 收稿日期:2013-09-04 出版日期:2014-03-30 发布日期:2014-03-30
  • 通信作者: 邝浩斌,Email:kuanghaobin@163.com
  • 基金资助:
    广东省医学科研项目(A2011497);广州市卫生局科研项目(201102A213156)

Effects of different ways of nursing intervention on bronchial tuberculosis airway stenosis treaded by balloon dilatation with fiberoptic bronchoscopy

WEI Yan-fang, KUANG Hao-bin, MA Zhi-ming, FU Hong-mei, XIE Yi-kai, LIAO Ya-yi, TAN Xiao-yan   

  1. Department of Tuberculosis, Guangzhou Chest Hospital, Guangzhou 510095, China
  • Received:2013-09-04 Online:2014-03-30 Published:2014-03-30
  • Contact: KUANG Hao-bin,Email:kuanghaobin@163.com

摘要: 目的探讨不同护理方式对支气管结核气道狭窄患者治疗的临床效果影响。方法将107例支气管结核气道狭窄患者通过随机数字表法分为研究组54例和对照组53例。研究组在结核内科常规护理的基础上,术前建立良好的医患关系,给予心理护理,术中和术后的病情观察、过声门时的护理,体位引流联合叩背排痰护理及出院后指导等综合护理;对照组给予结核内科常规护理。两组患者以出院后定期复查率、完成治疗率、治疗有效率为观察指标,评价护理效果。所有数据应用SPSS 13.0软件进行分析,两组间各率的比较采用χ2检验,P<0.05为差异有统计学意义。结果研究组定期复查率、完成治疗率和治疗有效率分别为100.0%(54/54)、98.1%(53/54)、96.3%(52/54),而对照组定期复查率、完成治疗率和治疗有效率分别为77.4%(41/53)、56.6%(30/53)、56.6%(30/53),研究组均显著高于对照组(χ2值分别为13.771、26.533、23.535,P值均<0.05)。结论气管支气管结核气道狭窄患者在结核内科常规护理的基础上,给予个体化护理方案,即支气管球囊扩张术前、术中和术后护理措施,如心理护理、过声门时的护理、体位引流联合叩背排痰护理、出院后指导等综合护理措施,能提高患者依从性、提高完成疗程率及治疗有效率,临床上值得推广应用。

Abstract: Objective To explore the effects of different ways of nursing intervention on bronchial tuberculosis airway stenosis treaded by balloon dilatation with fiberoptic bronchoscopy.Methods Of 107 patients with bronchial tuberculosis airway stenosis were randomly divided into study group (54 patients) and control group (53 patients). On the basis of routine tuberculosis medical care, comprehensive care was given to the patients in study group, including the establishment of the preoperative good relationship between doctor and patient, psychological care delivery, the intraoperative and postoperative condition observation, the nursing care during fiexible bronchofiberscope going through the glottis, the nursing care of postural drainage combined with posture productive cough therapy and guidance after discharge, etc. Routine TB medical care was given to patients of control group. The nursing effect was evaluated by periodic review rate, treatment complement rate and effective rate of treatment after discharge. SPSS 13.0 was used for data analysis. Chi-square test was applied to compare the rates between two groups. P<0.05 was set as the criteria of statistical significance.Results The periodic review rate, the treatment complement rate and the effective rate of treatment were 100.0% (54/54), 98.1%(53/54) and 96.3% (52/54) in the study group, which were significant higher than those in the control group (77.4% (41/53), 56.6% (30/53) and 56.6% (30/53)) (χ2 values were 13.771, 26.533 and 23.535. all P<0.05).Conclusion On the basis of the routine tuberculosis medical care, comprehensive care should be given to the patients with bronchial tuberculosis airway stenosis, including individualized care program, psychological care delivery, the preoperative, intraoperative and postoperative nursing intervention in the bronchial balloon dilatation, such as psychological care, the nursing care during fiexible bronchofiberscopy going through the glottis, the nursing care of postural drainage combined with posture productive cough therapy and guidance after discharge, which can by which the compliance, the completed treatment rate and the effective rate of the treatment can improve the compliance of treatment, the treatment complement rate and effective rate of treatment, and is worthy of clinical application.