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.docx

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 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、平均住院口、住院费用、并发症。结果：观察组患者满意率明显高 于对照组，平均住院口、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，缩短住院口，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 n ursi ng in the treatme nt of pulm on ary tuberculosis with massivehemoptysis by bronchial artery embolization. Methods: 60 cases of pulmonary tuberculosis hemoptysis interventio nal treatment patie nts we re ran domly divided into con trol 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 betwee n the two groups of patients satisfacti on rate, 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 weresigrdficantly 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人咯血患 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［门。 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，减少病人的住院吋间及住院费用，人人提高病人的舒适度和满意