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耐多药肺结核病人的成因分析及护理对策 被引量:14

Analysis and Nursing Strategy of Multi-drug Resistance Tuberculosis
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摘要 目的探讨耐多药肺结核病的成因、寻求相应护理对策.方法对2003年7月~2004年12月门诊登记的耐多药肺结核病人进行相关因素的个案调查.结果耐多药肺结核病人84例,其中初治11例,复治73例.耐多药肺结核病人中,肺结核发现延迟53例,占63.1%;治疗史中约2/5病人疗程不满6个月,占41.7%;化疗方案不合理者,占34.2%(复治病人);不规则化疗者,占58.3%.结论发生耐多药肺结核的主要原因是诊断不及时、疗程不足及化疗方案不合理、病人的客观原因、防痨知识宣教欠缺等.护理上应采取综合、有效的策略,预防耐多药肺结核病的发生. Objective To explore the cause of multi--drug resistance tuberculosis and related nursing to prevent it. Methods Patients who had been registered in out-patient department from July, 2003 to October, 2004 and were infected by multi- drug resistance tuberculosis were investigated. Results Among 84 patients with multi--drug resistance tuberculosis, 11 patients were treated at first time and 73 were treated more than two times. Among 84 patients, 63.1% were detected delayed; 41. 7% of patients' anti--tuberculosis treatment history was less than 6 months; 34.2% of patients' antituberculosis therapy prescriptions were improper; 58.3% had been treated irregularly. Conclusions The major causes of formation of multi--drug resistance tuberculosis were delayed diagnosis, improper therapy course and prescription, patients lacking knowledge on anti--tuberculosis et al. We should take synthesized and effective nursing strategy to prevent the occurring of multi--drug resistance tuberculosis.
出处 《现代护理》 2005年第24期2109-2111,共3页 Modern Nursing
关键词 肺结核 耐药 预防 护理 Pulmonary tuberculosis Drug resistance Prevention Nursing
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