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目的探讨肺结核大咯血患者的急诊观察与护理。方法选取2011年1月—2012年12月治疗的肺结核大咯血患者80例,随机分为对照组和观察组各40例,对照组给予常规护理,观察组在对照组基础上给予针对性护理干预。比较两组并发症发生率、住院时间、治疗费用及患者满意度。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果并发症发生率对照组40.00%,观察组15.00%,两组比较差异有统计学意义(χ2=6.270,P<0.05);住院时间和治疗费用对照组分别为(11.77±2.32)d、(0.81±0.14)万元,观察组分别为(6.34±1.76)d、(0.48±0.11)万元,两组比较差异均有统计学意义(t=11.793、11.722,均P<0.05)。结论对肺结核大咯血患者在常规护理基础上实施针对性护理干预可有效降低并发症发生率、减少住院费用、提高患者满意度。
Objective To investigate the emergency observation and nursing of tuberculosis patients with hemoptysis. Methods Eighty patients with tuberculosis and hemoptysis were selected from January 2011 to December 2012. They were randomly divided into control group and observation group of 40 cases each. The control group was given routine nursing. The observation group was given nursing intervention on the basis of the control group . The complication rates, hospitalization time, treatment costs and patient satisfaction were compared between the two groups. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The incidence of complications was 40.00% in the control group and 15.00% in the observation group, with significant difference between the two groups (χ2 = 6.270, P <0.05). The hospitalization time and treatment cost were (11.77 ± 2.32) d and 0.81 ± 0.14) million, the observation group was (6.34 ± 1.76) d, (0.48 ± 0.11) million respectively. There was significant difference between the two groups (t = 11.793, 11.722, all P <0.05). Conclusion The implementation of targeted nursing intervention on the basis of routine nursing can effectively reduce the incidence of complications, reduce hospitalization costs and improve patient satisfaction for tuberculosis patients with massive hemoptysis.