CAJ | 학술논문

目的：探讨精神分裂症合并肺结核患者咯血的诱因和护理对策。方法：回顾性总结近5年我科精神分裂症合并肺结核患者9人临床咯血的主要诱因及采取的有效护理措施。结果：咯血的主要诱因有：不服从卧床休息、吸烟后呛咳、排便用力,饮食控制不当、情绪激动等,经过护理干预,消除患者咯血的诱因,积极配合治疗和抢救,1人行肺叶切除术已治愈,4人因呼吸衰竭抢救无效死亡,其余4人咯血已控制,病情稳定。结论：精神分裂症合并肺结核出现咯血的诱因多样,需实行有针对性的护理措施。
목적：탐토정신분렬증합병폐결핵환자각혈적유인화호리대책。방법：회고성총결근5년아과정신분렬증합병폐결핵환자9인림상각혈적주요유인급채취적유효호리조시。결과：각혈적주요유인유：불복종와상휴식、흡연후창해、배편용력,음식공제불당、정서격동등,경과호리간예,소제환자각혈적유인,적겁배합치료화창구,1인행폐협절제술이치유,4인인호흡쇠갈창구무효사망,기여4인각혈이공제,병정은정。결론：정신분렬증합병폐결핵출현각혈적유인다양,수실행유침대성적호리조시。
Objective:To investigate causes and nursing countermeasures of hemoptysis for patients with schizophrenia com-bined with pulmonary tuberculosis. Methods:The main causes and effective nursing countermeasures of hemoptysis of 9 patients with schizophrenia combined with pulmonary tuberculosis in our department in the past five years were retrospectively analyzed. Results:The main causes were disobedience bed rest, after smoking cough, defecation straining, improper diet, agitation, etc. . After receiving nursing intervention to eliminate the incentive and active cooperation with the treatment and rescue, 1 cases was cures through pulmona-ry lobectomy, 4 cases died due to respiratory failure, and the other 4 cases were well controlled and in a stable condition. Conclu-sions:The main cases of hemoptysis for the patients with schizophrenia combined with pulmonary tuberculosis are various, therefore, it should take target nursing countermeasures.