矽肺并发肺结核老年患者的居家护理指导  

Home care guide of silicosis complicated with pulmonary tuberculosis in elderly patients

作　　者：任惠英[1] 高明静[1] 王小娟[1] 

机构地区：[1]山东省淄博市职业病防治院职业病二科,山东淄博255000

出　　处：《中国医药科学》2016年第17期127-129,204,共4页China Medicine And Pharmacy

摘　　要：目的 探讨矽肺并发肺结核老年患者的居家护理方法。方法 选择2013年1月~2015年1月本院收治的矽肺合并肺结核患者80例,按照随机数字表法分为两组,各40例,观察组实施居家护理干预,对照组实施常规护理,比较两组焦虑和抑郁评分情况、干预前后患者生活质量评分情况以及两组近1年总住院时间,次数及生存情况。结果 干预后观察组HAMD及HAMA评分低于对照组（P〈0.05）,干预后观察组生活质量评分显著优于对照组（P〈0.05）,观察组1年总住院时间短于对照组（P〈0.05）,生存例数显著多于对照组（P〈0.05）。结论 针对矽肺合并肺结核患者实施有效的护理干预,能显著降低患者焦虑抑郁心理,提高患者生活质量,延长患者生存时间。Objective To explore the methods of home care of silicosis complicated with pulmonary tuberculosis in elderly patients. Methods 80 cases of patients with silicosis complicated with pulmonary tuberculosis cured in our hospital from January 2013 to January 2015 were randomly divided into two groups with 40 cases in each 40. Patients in observation group were implemented with home care, and patients in control group were implemented with routine care. Anxiety and depression scores with life quality score before and after the intervention and survival times were compared. Results The HAMD and HAMA scores in the observation group were lower than those in control group （P〈 0.05）. The life quality scores in the observation group were better than that in control group （P 〈 0.05）. The one-year hospital stay time in the observation group was shorter than that in control group （P 〈 0.05）. The survived rate in the observation group was more than that in control group （P 〈 0.05）. Conclusion The implementation of effective nursing intervention for patients with silicosis complicated with pulmonary tuberculosis can reduce anxiety and depression with psychological, and improve the life quality and prolong survival time.

关 键 词：矽肺 肺结核 老年患者 居家护理 

分 类 号：R473[医药卫生—护理学]