刘吉华 杨水秀 谭彩萍

[摘要]目的 探讨集束化护理干预在肺结核大咯血介入术后的应用效果。方法 选取我院2016年5月～2018年5月收治的60例肺结核大咯血介入术患者，根据入院时间分为观察组与对照组，每组各30例。观察组给予集束化护理干预，对照组给予常规护理干预，比较两组的护理效果。结果 两组干预前的心理状况评分比较，差异无统计学意义（P>0.05）;两组干预后的心理状况评分均得到显著改善，且观察组各项评分低于对照组（P<0.05）;观察组的生活质量评分高于对照组（P<0.05）。结论 集束化护理干预在肺结核大咯血介入术后的应用效果显著，可有效缓解患者心理压力，改善生活质量。

[关键词]护理;肺结核;咯血

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1674-4721（2019）9（c）-0241-03

[Abstract] Objective To explore the application effect of clustering nursing intervention after interventional therapy for massive hemoptysis of pulmonary tuberculosis. Methods A total of 60 patients receiving nterventional therapy for massive hemoptysis of pulmonary tuberculosis in our hospital from May 2016 to May 2018 were selected and divided into the observation group and the control group according to their admission time， 30 cases in each group. Patients in the observation group were given clustering nursing intervention， and patients in the control group were given routine nursing. The nursing effects were compared between the two groups. Results There was no significant difference in psychological status score between the two groups before intervention （P>0.05）. After intervention， the scores of psychological status in the observation group were significantly improved， and the scores in the observation group were lower than those in the control group （P<0.05）. The quality of life score of the observation group was higher than that of the control group （P<0.05）. Conclusion The application effect of clustering nursing intervention after interventional therapy for massive hemoptysis of pulmonary tuberculosis is significant， which can effectively relieve the patients mental tension and improve their quality of life.

[Key words] Nursing; Pulmonary tuberculosi; Hemoptysis

結核病是由结核分枝杆菌引起的慢性传染病，可侵及许多脏器，以肺部结核感染最为常见。人体在受到感染后，不一定发病，当机体抵抗力降低或细胞介导变态反应增高时，才可引发疾病，如及时治疗，多数可获得痊愈[1-2]。肺结核大咯血病情危急，进展较快，需立即给予急诊手术治疗，治疗期间，实施合理护理干预，可有效缓解患者心理压力，提升配合度，改善预后。常规护理虽具有较好的广泛性，但具有一定局现性，患者认可度较低。集束化护理干预是新型护理方法，可以有效提升整体护理质量，提高护理满意度。本研究给予观察组集束化护理干预，效果显著，现报道如下。

1资料与方法

1.1一般资料

选取我院2016年5月～2018年5月收治的60例肺结核大咯血介入术患者，根据入院时间分为观察组与对照组，每组各30例。纳入标准：24 h咯血量>600 ml，经内科治疗无效者;出血部位明确;反复大咯血，曾出现过窒息、窒息先兆或低血压、休克者;无精神疾病史或认知功能障碍者;依从性较好者。排除标……