肺结核合并糖尿病的护理干预

Nursing intervention of patients with pulmonary tuberculosis complicating diabetes

目的通过对86例肺结核合并糖尿病患者进行护理干预,对血糖的控制,痰菌转阴情况的观察,探讨肺结核合并糖尿病的护理要点,进一步指导临床,提高康复率。方法将该类患者随机分为干预组和对照组各43例。护理干预的措施有合理饮食、重视血糖检测、做好用药的指导、做好心理护理、加强基础护理、预防疾病传播和继发感染、做好出院指导等。结果经过2个月的强化疗程结束后干预组血糖控制情况、痰菌阴转率优于对照组,两组比较差异有统计学意义(P<0.05)。结论糖尿病与肺结核常合并存在,互相影响,治疗上也不像单的糖尿病或单一的肺结核那样简单,护理上也并非是2疾病护理的简单相加。通过积极的护理介入和干预,有助于患者对疾病的正确认识,不仅可以提高对治疗的依从性,掌握自我护理能力,而且能够提高治疗效果,降低并发症,减少复发率。

Objective To investigate the complicating diabetes to direct clinic and advance principal nursing points of pulmonary tuberculosis the rate of recovery. Methods Eighty- six cases were divided into treatment group and control group on an average basis. The measures of nursing intervention are as follows： a sensible diet, control of blood glucose, drug usage, psychological nursing, fundamental of nursing, and discharge instructions. Results Control of blood glucose and sputum negative conversion rate is better and higher in treatment group than that in control group （P 〈 0.05）. The total treatment course was 2 months. Conclusions Pulmonary tuberculosis co - exists with diabetes. Nursing is more complex in pulmonary tuberculosis complicating diabetes as their therapy. It can contribute to the correct knowledge of the illness through positive nursing interventions. It can not only enhance the compliance of therapy, help command autonomous care ability, but also imorove treatment effect, and reduce complicating disease and recurrence rate.