Chin J Schisto Control ›› 2014, Vol. 26 ›› Issue (3): 345-.

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Nursing of advanced schistosomiasis patients: a report of 52 cases

FAN Xiao-chun1 | JIANG Lan-ying2 | LIU Wen-xue1   

  1. 1 Changshan County People’ s Hospital| Zhejiang Province|Changshan 324200| China;2 Shangrao Municipal People’ s Hospital| Jiangxi Province|China
  • Online:2014-06-15 Published:2014-08-11

52例晚期血吸虫病患者护理体会

范肖春1|江兰英2|刘文学1   

  1. 1 浙江省常山县人民医院 (常山 324200); 2江西省上 饶市人民医院

Abstract: Objective To explore the reasonable nursing interventions of advanced schistosomiasis patients. Methods The medical records of 52 advanced schistosomiasis patients hospitalized from 2008 to 2013 were collected,and the nursing interven? tions were summarized. Results The 52 cases of advanced schistosomiasis included 38 men and 14 women,with a mean age of 65.8 years(57-75 years) . Totally 53.8% of the subjects were schistosome positive by IHA test,67.3% positive by ELISA,and 21.2% positive of HBsAg. There were 13 cases of ascites type,34 cases of megalosplenia type,and 5 cases of dwarfism type of ad? vanced schistosomiasis. Following the therapy together with nursing interventions,73.1% achieved clinical cure,23.1% achieved stable,and 3.8% achieved improvement. The major nursing interventions involved basic nursing,diet nursing,treatment nursing, physiological nursing and surgical nursing. Conclusion The scientific and reasonable nursing interventions can improve the ther? apeutic efficacy and prognosis in advanced schistosomiasis patients,as well as improve their quality of life.

Key words: Advanced schistosomiasis; Nursing intervention; Quality of life;Prognosis

摘要: 目的 目的 探讨晚期血吸虫病 (晚血) 的护理干预措施。 方法 方法 收集2008-2013年入住本院的52例晚血患者病例资 料, 总结护理措施。 结果 结果 52例晚血患者中, 男性38例, 女性14例; 年龄57~75岁, 平均65.8岁。53.8%患者间接血凝试验 (IHA) 阳性, 67.3%酶联免疫吸附试验 (ELISA) 阳性; 21.2% HBsAg阳性。腹水型患者13例, 巨脾型34例, 侏儒型5例。经 过相应治疗辅以护理干预后, 73.1%得到临床治愈,23.1%病情稳定, 3.8%病情好转。主要护理干预措施包括一般基础护 理、 饮食护理、 治疗护理、 心理护理和手术护理。 结论 结论 采取科学合理的护理干预措施可提高晚血疗效, 改善预后, 提高患 者生活和生命质量。

关键词: 晚期血吸虫病; 护理干预; 生活质量; 预后

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