CAJ | 학술논문

目的：探讨前瞻性护理预防肺结核合并大咯血患者便秘的效果。方法将52例有可能发生便秘的肺结核合并大咯血患者随机分为预防组26例及对照组26例，2组患者均按肺结核合并大咯血常规护理，对照组一旦发生便秘即给予药物治疗及护理干预；预防组在入院时即采取前瞻性护理干预措施预防便秘。对比2组的护理效果。结果2组患者住院期间便秘发生率与诱发再出血率差异有统计学意义（P<0.05）。结论对肺结核合并大咯血患者住院期间实施有预见性的前瞻性护理，可明显降低便秘的发生率，从而减少便秘引起的并发症和严重危害。
목적：탐토전첨성호리예방폐결핵합병대각혈환자편비적효과。방법장52례유가능발생편비적폐결핵합병대각혈환자수궤분위예방조26례급대조조26례，2조환자균안폐결핵합병대각혈상규호리，대조조일단발생편비즉급여약물치료급호리간예；예방조재입원시즉채취전첨성호리간예조시예방편비。대비2조적호리효과。결과2조환자주원기간편비발생솔여유발재출혈솔차이유통계학의의（P<0.05）。결론대폐결핵합병대각혈환자주원기간실시유예견성적전첨성호리，가명현강저편비적발생솔，종이감소편비인기적병발증화엄중위해。
Objective To explore preventing effect of prospective nursing intervention of constipation in the patients of pulmonary tuberculosis (PTB) with Massive hemoptysis. Methods 52 patients of PTB with massive hemoptysis were randomly divided into the experiment group(n=26)and the control group(n=26),routine care was given to both two groups,The occurrence of constipation that is given to drug treatment and nursing intervention in the control group,and the experiment group received individual prospective nursing intervention immediately after hospitalization on the basis of the usual care. Effect of nursing in the two groups was compared. Results There was significant difference in constipation and induce rebleeding rate between the two group of patients during hospitalization(P<0.05). Conclusion The Prospective nursing for PTB with massive hemoptysis patients to prevent constipation can significantly reduce the incidence of constipation,thus to reduce complications caused by constipation and serious harm.