孟景玲

摘要：目的 研究对老年肺结核患者预后产生影响的危险因素以及优质护理的实施效果。方法 将本院自2020年1月～2021年1月收治43例老年肺结核患者当作研究对象。对以往老年肺结核患者不良预后发生情况进行分析，总结危险因素，并在其基础上给予患者优质护理，对比患者护理前后生活质量评分和情绪评分。结果 年龄、职业、生活习惯以及基础疾病均是导致老年肺结核患者出现不良预后的危险因素;实施后生活质量评分明显比实施前高，情绪评分明显比实施前低（P<0.05）。结论 应该重视对老年肺结核患者预后产生影响的危险因素，使用优质护理改善患者的生活质量和负性情绪，降低不良预后的发生，确保患者得到更为有效的治疗。

关键词：老年肺结核;危险因素;优质护理

Objective to study the risk factors and the effect of quality nursing on the prognosis of elderly tuberculosis patients. Methods 43 elderly tuberculosis patients were treated in our hospital from January 2020 to January 2021 as the research object. The adverse prognosis of the elderly tuberculosis patients was analyzed，the risk factors were summarized，and the patients were given high-quality nursing on the basis of which，the quality of life score and emotion score before and after the nursing were compared. Results age，occupation，life habits and basic diseases were the risk factors of poor prognosis in elderly patients with tuberculosis;The quality of life score after implementation was significantly higher than before implementation，and the emotional score was significantly lower than before implementation（P < 0.05）. Conclusion we should pay attention to the risk factors that affect the prognosis of elderly tuberculosis patients，improve the quality of life and negative emotions，reduce the occurrence of adverse prognosis，and ensure that patients get more effective treatment.

[Key words]tuberculosis in the elderly;Risk factors;Quality care

現阶段，虽然医疗技术的提升，将肺结核的检出率提升，但是发病率依旧较高，并且多发人群为老年人，对他们的生活和健康产生了影响【1】。在患上肺结核之后，患者会出现咳痰和食欲下降等症状，因为病程长，经济等多种因素的影响，导致依从性降低，无法发挥治疗的效果，也导致了预后不理想的情况。为了能够将疗效提升，需要对影响老年肺结核预后的危险因素进行分析，使用合理的方式护理，确保不良预后发生率能够降低，加快患者康复的速度【2】。基于此，本院对老年肺结核患者预后产生影响的危险因素以及优质护理的实施效果进行了研究，报道如下：