协同护理对围手术期支气管结核患者的效果

Study on the clinical effect of collaborative nursing on patients with bronchial tuberculosis during perioperative period

目的观察协同护理对支气管结核(BTB)患者行支气管镜介入冷冻治疗后的临床效果。方法招募2019年1月~2021年1月就诊我院且行支气管镜介入冷冻治疗的140例BTB患者,随机分为:观察组(纳入70例,提供协同护理)和对照组(纳入70例,提供常规护理),评价组间焦虑及抑郁情绪、手术情况、症状改善时间、不良反应情况。结果(1)护理后,观察组焦虑及抑郁情绪评分显著低于对照组患者(P<0.05);(2)观察组出血量(225.65±45.19 ml)、手术时间(2.05±0.46h)、平均治疗次数(4.24±0.90次)、平均住院时间(45.12±5.54d)显著优于对照组(258.63±46.23 ml)、(2.82±0.57h)、(3.15±0.87次)、(53.67±7.81 d)(P<0.05);(3)观察组患者咳嗽消失(12.55±1.22周)、结核杆菌转阴(13.44±1.12周)、午后低热消失(10.23±1.32周)、结核空洞闭合时间(12.52±1.35周)均少于对照组(14.93±1.52周)、(16.34±1.63周)、(12.96±1.53周)、(15.92±1.33周)(P<0.05);(4)在不良反应发生率方面,观察组患者(11.43%)低于对照组(25.71%)(P<0.05)。结论在BTB患者行支气管镜介入冷冻治疗时采用协同护理,可以减轻负性情绪,减少出血量,缩短手术时间及症状改善时间,降低不良反应发生率,值得推广。

Objective To observe the clinical effect of cooperative nursing on bronchial tuberculosis(BTB) patients after bronchoscopy interventional cryotherapy.Methods We recruited 140 patients with BTB who received bronchoscopic interventional cryotherapy from January 2019 to January 2021,and they were randomly divided into observation group(70 cases were included to provide collaborative nursing)and control group(70 cases were included to provide routine nursing).Anxiety and depression,operation condition,symptom improvement time and adverse reactions were evaluated.Results(1)After nursing,the scores of anxiety and depression in the observation group were lower than the control group(P<0.05).(2)The blood loss The blood loss(225.65±45.19 ml),operation time(2.05±0.46h),average times of treatment(4.24±0.90 times),average hospitalization time(45.12±5.54d)in the observation group were better than those in the control group(258.63±46.23 ml),(2.82±0.57h),(3.15±0.87 times),(53.67±7.81d)(P<0.05).(3)The cough disappeared(12.55±1.22weeks),Mycobacterium tuberculosis turned negative(13.44±1.12weeks),afternoon fever disappeared(10.23±1.32weeks),tuberculosis cavity closure time(12.52±1.35weeks)in the observation group were less than those in the control group(14.93±1.52 weeks),(16.34±1.63 weeks),(12.96±1.53 weeks),(15.92±1.33 weeks)(P<0.05).(4)In the incidence of adverse reactions,the observation group(11.43%)was lower than the control group(25.71%)(P<0.05).Conclusion Collaborative nursing can reduce the negative emotion and the amount of bleeding,shorten the operation time and symptom improvement time,and reduce the incidence of adverse reactions in patients with BTB.