采用集束化护理干预措施提高客家地区支气管炎内膜结核患者纤维镜下治疗依从性研究.docVIP

采用集束化护理干预措施提高客家地区支气管炎内膜结核患者纤维镜下治疗依从性研究 　　[摘要] 目的 探讨集束化护理改善客家地区支气管炎内膜结核患者纤维支气管镜治疗依从性的效果。方法 选择我院收治152例接受纤维支气管镜治疗的支气管炎内膜结核患者，随机划分为对照组和观察组，对照组患者接受常规护理，观察组接受集束化护理，进行两组SDS评分、心率和血压波动、遵医行为的对比。结果 护理后观察组心率、血压均比对照组低，焦虑症状、遵医行为改善情况比对照组好（均P0.05）。结论 在支气管炎内膜结核患者纤维支气管镜治疗中应用集束化护理能够有效提升治疗依从性，具有较高的推广价值。 　　[关键词] 集束化护理；纤维支气管镜；支气管炎内膜结核 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 2095-0616（2017）16-129-03 　　Study on the therapeutic compliance of fibrosus in patients with endometrial tuberculosis in Hakka area by cluster nursing interventions 　　CHEN Lixia1 WEI Ling2 GAN Fengying2 　　1. Department of Bronchoscopy， Heyuan Peoples Hospital， Heyuan 517000， China； 2. Department of Respiratory Medicine， Heyuan Peoples Hospital， Heyuan 517000， China 　　[Abstract] Objective To explore the effect of cluster nursing on improving the compliance of fiberoptic bronchoscopy in endometrial tuberculosis patients with endemic bronchitis in Hakka area. Methods 152 patients with endoscopic tuberculosis treated with fiberoptic bronchoscopy in our hospital were selected and randomly divided into control group and observation group. The patients in the control group were treated with routine nursing. Patients in observation group were treated with cluster care. Heart rate and blood pressure fluctuations， compliance behavior of the two groups were compared. Results After treatment， the heart rate and blood pressure of the observation group were lower than those of the control group， and the improvement of anxiety and compliance was better than that of the control group（all P0.05）. Conclusion The application of cluster nursing in the treatment of bronchoscopy in patients with endobronchial tuberculosis can effectively improve the compliance of treatment， and it has a high popularization value. 　　[Key words] Cluster care； Fiberoptic bronchoscopy； Endobronchial tuberculosis 　　支?夤苎啄谀そ岷耸腔颊吒腥窘岷烁司?所致，具有非常强的传染性，能够对患者健康造成严重影响[1]。当前支气管炎内膜结核等呼吸系统疑难杂症治疗主要应用支气管镜，并且产生良好的治疗效果[2]。但是纤维支气管镜治疗时患者会出现不适或痛苦，进而造成患者治疗依从性降低。所以在纤维支气管镜治疗过程中，护