全程护理对肺结核并咯血患者的疗效研究

The Effect Study of Whole Nursing to Patients with Pulmonary Tuberculosis and Hemoptysis

目的:观察全程护理干预对肺结核合并咯血患者的临床效果,以期为临床提高护理服务水平提供理论依据。方法:对本院呼吸内科住院治疗的肺结核合并咯血患者80例按照随机数字表随机分为两组:对照组36例给予传统整体护理;观察组44例在传统整体护理的基础上给予全程护理干预。对比观察两组患者咯血持续时间、住院天数、对护理的满意度、护理质量,以及患者的生存质量和焦虑抑郁的情绪状态。结果:和对照组比较,观察组的咯血持续时间及住院天数短,对护理的满意度和护理质量高,生存质量量表得分高,焦虑自评量表得分和抑郁自评量表得分低(P<0.05);与治疗前比较,观察组治疗后的生存质量量表得分高,焦虑自评量表得分和抑郁自评量表得分低(P<0.05)。结论:对肺结核合并咯血患者给予全程护理干预,可以缩短咯血持续时间和住院时间,可以提高患者的生存质量、改善患者的情绪状态,可以提高护理服务质量以及患者对医务人员的满意程度。

Objective： To observe the clinical application effect of the whole nursing intervention in patients with pulmonary tuberculosis hemoptysis,so as to provide theoretical basis for clinical nursing service level.Method： 80 cases pulmonary tuberculosis hemoptysis patients in our hospital were selected,and randomly divided into two groups according to random number table： control group of 36 cases were given traditional holistic nursing, and observation group of 44 cases were given the whole nursing intervention on the basis of traditional overall care.The hemoptysis duration, hospitalization days, satisfaction of nursing, nursing quality, and quality of life in patients with anxiety and depression of emotional state of two groups of patients were observed. Result： Compared with the control group, the hemoptysis duration and hospitalization days of the observation group were significantly shorter,the satisfaction of nursing and the nursing quality were higher, the patient＇s quality of life scale score was higher,the anxiety self-assessment scale scores and depression self rating scale scores were lower,the differences were statistically significant（P0.05）.Compared with the data before treatment of the observation group,the patients＇ quality of life scale scores after treatment was higher,the anxiety self-assessment scale scores and depression self rating scale score were lower,the differences were statistically significant（P0.05）.Conclusion： The whole nursing intervention in patients with pulmonary tuberculosis hemoptysis can shorten the duration of hemoptysis and hospitalization time, improve the quality of life and the emotional state, improve the quality of nursing service and the satisfaction of medical staff.