CAJ | 학술논문

目的：探讨积极的护理干预在老年结核性脑膜炎康复中的作用，旨在促进老年结核性脑膜炎患者的临床治愈率，提高生活质量。方法对2010年1月-2014年1月期间该院收治的28例老年结核性脑膜炎患者进行综合护理干预，同时选取同期收治的给予常规护理的28例老年结核性脑膜炎患者为对照组，分析两组护理效果。结果观察组患者好转率明显高于对照组，死亡率明显低于对照组(P<0.05)；护理后观察组患者压疮情况明显优于对照组(P<0.05)，且采用不同方式进行护理干预后观察组患者敷料松脱、标识不完整、管道移位、管道处理不当及记录不全面等情况的发生率均明显低于对照组(P<0.05)。结论积极的综合护理干可提高老年结核性脑膜炎患者的治愈率，且可减少压疮及意外事故发生，临床价值显著，应推广应用。
목적：탐토적겁적호리간예재노년결핵성뇌막염강복중적작용，지재촉진노년결핵성뇌막염환자적림상치유솔，제고생활질량。방법대2010년1월-2014년1월기간해원수치적28례노년결핵성뇌막염환자진행종합호리간예，동시선취동기수치적급여상규호리적28례노년결핵성뇌막염환자위대조조，분석량조호리효과。결과관찰조환자호전솔명현고우대조조，사망솔명현저우대조조(P<0.05)；호리후관찰조환자압창정황명현우우대조조(P<0.05)，차채용불동방식진행호리간예후관찰조환자부료송탈、표식불완정、관도이위、관도처리불당급기록불전면등정황적발생솔균명현저우대조조(P<0.05)。결론적겁적종합호리간가제고노년결핵성뇌막염환자적치유솔，차가감소압창급의외사고발생，림상개치현저，응추엄응용。
Objective To investigate the effect of active nursing intervention on the rehabilitation of elderly patients with tubercu-lous meningitis so as to improve the clinical cure rate of the disease and the quality of life of the patients. Methods 28 elderly pa-tients with tuberculous meningitis admitted in our department during the period between January 2010 and January 2014 were se-lected and given comprehensive nursing intervention. And other 28 elderly patients with tuberculous meningitis admitted during the same period were selected as the control group and given the usual care. And the nursing efficacy was compared between the two groups. Results Compared with the control group, the observation group had much higher improvement rate and lower mortality rate(P<0.05), the status of pressure sores was much better after nursing(P<0.05), the incidence of dressing loose, incomplete identi-fication, tunnel displacement, inappropriate treatment of tunnel and incomprehensive record was significantly lower, respectively(P<0.05). Conclusion For elderly patients with tuberculous meningitis, positive comprehensive nursing intervention can increase the cure rate, reduce the incidence of pressure sores and accidents with obvious clinical value, so it should be promoted and popular-ized.