舒适护理对纤维支气管镜下介入治疗肺结核患者应对方式的影响

范迪 杨晨 谢铜顺

[摘要] 目的 分析舒適护理对纤维支气管镜下介入治疗肺结核患者应对方式的影响。 方法 选取我院在2017年11月至2019年3月期间收治74例接受纤维支气管镜下介入治疗的肺结核患者，按数字随机表法分为对照组（n=37）及观察组（n=37），分别采取常规护理、舒适护理干预;比较两组护理后身心状态、应对方式，统计并发症发生的相关病。 结果 观察组护理后生理舒适、心理舒适、社会舒适及环境舒适均高于对照组，护理后的应对方式高于对照组，焦虑、抑郁评分低于对照组，术后并发症发生率为5.41%，低于对照组的27.03%（P<0.05）。 结论 对纤维支气管镜下介入治疗肺结核患者采取舒适护理干预，可改善患者身心舒适度，临床价值高，值得推广应用。

[关键词] 纤维支气管镜;介入;肺结核;舒适护理干预;常规护理

[中图分类号] R473.5          [文献标识码] B          [文章编号] 1673-9701（2021）25-0180-04

Effect of comfort nursing on the coping methods of patients with pulmonary tuberculosis undergoing fibrobronchoscopic interventional therapy

FAN Di1   YANG Chen2   XIE Tongshun1

1.Nursing department of the Fifth People′s Hospital of Jingdezhen of Jiangxi Province，Jingdezhen   333000，China;2.Operating Room of The Third People′s Hospital of Jingdezhen of Jiangxi Province，Jingdezhen   333000，China;3.Department of bronchofiber scope of the Fifth People′s Hospital of Jingdezhen of Jiangxi Province，Jingdezhen   333000，China

[Abstract] Objective To analyze the effect of comfort care on the coping methods of patients with pulmonary tuberculosis undergoing fibrobronchoscopic interventional therapy. Methods A total of 74 patients with pulmonary tuberculosis who were given interventional therapy under fibrobronchoscopy were selected in our hospital from November 2017 to March 2019.The patients were divided into the control group （n=37） and the observation group （n=37） according to the random number table method.The regular nursing care and comfort nursing care were adopted respectively;the physical and mental state，coping methods and postoperative complication rate were compared between the two groups after nursing. Results The physical comfort，psychological comfort，social comfort and environmental comfort of the patients in the observation group were higher than those in the control group.The coping methods after nursing was higher than that in the control group，and the anxiety and depression scores after nursing were lower than those in the control group.The differences were statistically significant （P<0.05）;the postoperative complication rate in the observation group was 5.41%，which was lower than that of 27.03% in the control group，and the difference was statistically significant （P<0.05）. Conclusion Comfortable nursing intervention for patients with pulmonary tuberculosis undergoing fibrobronchoscopic interventional therapy can improve the patient's physical and mental comfort.It has a high clinical value and is worthy of promotion and application.