1例精神分裂症合并肺结核患者的护理干预体会
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摘要
目的研究在精神分裂症合并肺结核患者中进行护理干预的具体方法、产生的效果以及应用价值。方法回顾分析1例在我院进行治疗的精神分裂症合并肺结核患者的临床资料,患者在2017年8月15日查出肺结核,对其进行相应的治疗和护理,护理措施包括环境护理、用药护理、咯血护理以及健康知识宣教等,分析经护理后患者X线检查结果。结果在经治疗中采取科学有效的护理措施能够使护理人员及时发现存在的药物不良反应,降低不良事件的发生,患者BPRS以及NORS评分优于护理前(P <0.05)。结论因为精神分裂症合并肺结核患者疾病的治疗较为困难,因此采取有效的护理干预措施能够提高其治疗配合度,改善肺结核症状。
Objective To study the specific methods, effects and application value of nursing intervention in patients with schizophrenia complicated with pulmonary tuberculosis. Methods Retrospective analysis the clinical data of patients with schizophrenia complicated with pulmonary tuberculosis who were treated in our hospital were randomly selected. The patient was diagnosed with tuberculosis on August 15, 2017. The patient were treated and nursing. The nursing measures included environmental care, medication care, hemoptysis care and health knowledge missions, etc, analysis of the results of X-ray examination of patients after nursing. Results Taking scientific and effective nursing measures in the treatment can enable nurses to detect adverse drug reactions in time and reduce the occurrence of adverse events, the NORS and BPRS score of patients was significantly better than that before nursing(P < 0.05). Conclusion Because the treatment of schizophrenia complicated with tuberculosis patients is difficult, effective nursing interventions can improve the treatment coordination and improve the symptoms of tuberculosis.
Objective To study the specific methods, effects and application value of nursing intervention in patients with schizophrenia complicated with pulmonary tuberculosis. Methods Retrospective analysis the clinical data of patients with schizophrenia complicated with pulmonary tuberculosis who were treated in our hospital were randomly selected. The patient was diagnosed with tuberculosis on August 15, 2017. The patient were treated and nursing. The nursing measures included environmental care, medication care, hemoptysis care and health knowledge missions, etc, analysis of the results of X-ray examination of patients after nursing. Results Taking scientific and effective nursing measures in the treatment can enable nurses to detect adverse drug reactions in time and reduce the occurrence of adverse events, the NORS and BPRS score of patients was significantly better than that before nursing(P < 0.05). Conclusion Because the treatment of schizophrenia complicated with tuberculosis patients is difficult, effective nursing interventions can improve the treatment coordination and improve the symptoms of tuberculosis.
引文
[1]陈晨.精神病合并肺结核患者的护理干预效果观察[J].中国医药指南,2017,15(31):262-263.
[2]杜丽楠.延续性护理对肺结核患者的影响[J].心理医生,2015,21(20):139-140.
[3]石芳,刘艾美,李鹤.护理精神分裂症合并肺结核患者的风险及对策[J].饮食保健,2017,4(5):182-183.
[4]张军.心理支持在精神疾病护理中的运用及意义[J].心理医生,2017,23(7):206-207.
[5]王兆星.人文关怀在恢复期精神分裂症护理中的应用分析[J].中国基层医药,2018,25(3):399-402.
[6]何晓艳,尤志娟.精神分裂症护理中优质护理服务的施行效果观察[J].医药前沿,2016,6(35):283-284.
[7]张彬,王洪军.社区日间照料护理对改善社区慢性精神分裂症患者社会功能的影响分析[J].影像研究与医学应用,2017,1(4):235-236.
[8]刘志华,王玉玲,刘艳红,等.精神分裂症护理中的优质护理服务的应用研究[J].大家健康(中旬版),2016,10(8):237.
[9]沈志春.优质护理在精神分裂症护理中的应用分析[J].中国保健营养,2018,28(13):211.
[10]孙兰.延续性护理干预对肺结核患者遵医行为和治疗效果的影响[J].国际护理学杂志,2016,35(7):954-956.
[11]李艾虹.优质护理服务在肺结核护理中的应用观察[J].饮食保健,2016,3(5):194.
[12]唐煜.探究延续护理在肺结核护理中的临床应用[J].中国医药指南,2018,16(17):228-229.
[13]邬亚红,水小芳,陈文宇,等.心理护理改善耐多药肺结核患者焦虑抑郁情绪及生存质量的效果观察[J].中国基层医药,2016,23(19):2923-2927.
[14]于佳男.肺结核的发病现状及预防控制策略探析[J].中国卫生标准管理,2018,9(3):11-13.
[2]杜丽楠.延续性护理对肺结核患者的影响[J].心理医生,2015,21(20):139-140.
[3]石芳,刘艾美,李鹤.护理精神分裂症合并肺结核患者的风险及对策[J].饮食保健,2017,4(5):182-183.
[4]张军.心理支持在精神疾病护理中的运用及意义[J].心理医生,2017,23(7):206-207.
[5]王兆星.人文关怀在恢复期精神分裂症护理中的应用分析[J].中国基层医药,2018,25(3):399-402.
[6]何晓艳,尤志娟.精神分裂症护理中优质护理服务的施行效果观察[J].医药前沿,2016,6(35):283-284.
[7]张彬,王洪军.社区日间照料护理对改善社区慢性精神分裂症患者社会功能的影响分析[J].影像研究与医学应用,2017,1(4):235-236.
[8]刘志华,王玉玲,刘艳红,等.精神分裂症护理中的优质护理服务的应用研究[J].大家健康(中旬版),2016,10(8):237.
[9]沈志春.优质护理在精神分裂症护理中的应用分析[J].中国保健营养,2018,28(13):211.
[10]孙兰.延续性护理干预对肺结核患者遵医行为和治疗效果的影响[J].国际护理学杂志,2016,35(7):954-956.
[11]李艾虹.优质护理服务在肺结核护理中的应用观察[J].饮食保健,2016,3(5):194.
[12]唐煜.探究延续护理在肺结核护理中的临床应用[J].中国医药指南,2018,16(17):228-229.
[13]邬亚红,水小芳,陈文宇,等.心理护理改善耐多药肺结核患者焦虑抑郁情绪及生存质量的效果观察[J].中国基层医药,2016,23(19):2923-2927.
[14]于佳男.肺结核的发病现状及预防控制策略探析[J].中国卫生标准管理,2018,9(3):11-13.