对肺结核大咯血行支气管动脉栓塞术患者实施舒适护理的效果观察.docVIP

精品论文 参考文献 对肺结核大咯血行支气管动脉栓塞术患者实施舒适护理的效果观察 杨继芳（江苏省扬州市第三人民医院 ，江苏 扬州 225125） 　　【摘要】目的 ：探讨舒适护理在支气管动脉栓塞治疗肺结核大咯血的应用效果。方法：60 例肺结核咯血介入治疗患者随机分成对照组和观察组，对照组给予常规护理，观察组在常规护理的基础上加入了舒适的理念，比较两组患者术后的满意率、平均住院日、住院费用、并发症。结果：观察组患者满意率明显高于对照组，平均住院日、住院费用、 并发症明显低于对照组(P ＜ 0.05)。结论：舒适护理能提高患者的满意率和舒适度，缩短住院日，降低住院费用，减少并发症，使护患关系更加融洽。 　　【关键词】肺结核大咯血；舒适护理；支气管动脉栓塞术【中图分类号】 R573 【文献标号】 A 【文章编号】 2096-0867（2015）02-0079-02The effect of tuberculosis hemoptysis bronchial artery embolization for patients comfortable nursing observationYangji Fang(Yangzhou City, Jiangsu Province Peoples Hospital, Jiangsu, Yangzhou, 225125)【Abstract】 Objective: To investigate the effect of comfort nursing in the treatment of pulmonary tuberculosis with massivehemoptysis by bronchial artery embolization. Methods: 60 cases of pulmonary tuberculosis hemoptysis interventional treatment patientswere randomly divided into control group and observation group, control group was given routine nursing, the observation group on thebasis of routine nursing joined to be comfortable with the idea of, were compared between the two groups of patients satisfactionrate, average hospitalization days, cost of hospitalization, complications. Results: the satisfaction rate of the observation group wassignificantly higher than that of the control group, the average hospitalization days, hospitalization expenses and complications weresignificantly lower than those in the control group (P lt; 0.05). Conclusion: comfort care can improve the patients satisfaction rate andcomfort, shorten the length of hospital stay, reduce the cost of hospitalization, reduce complications, and make the relationship moreharmonious【Keywords】 pulmonary tuberculosis hemoptysis; comfort care; bronchial artery embolization 　　肺结核大咯血是常见的威胁患者生命的急症之一，死亡率极高。 　　随着介入放射学的发展，支气管动脉栓塞术已成为临床抢救肺结核大咯血患者的一种快捷，安全而有效的方法，提高了大咯血患者的抢救成功率，是内科治疗无效的大咯血患者的首选治疗措施［1］。 　　虽然它是一种微创、安全、止血快、并发症少、疗效确切的治疗方法［2］，但该技术有一定的创伤性，易使患者产生应激反应，感到不舒适。针对患者的这种不舒适我们制定出相应的护理对策，适当应用舒适护理的模式，促进疾病早日康复，减少病人的住院时间及住院费用，大大提高病人的舒适度和满意