Tuberculosis care

Tuberculosis is a chronic infectious respiratory disease caused by Mycobacterium tuberculosis infection of the lungs. Latent TB infection has no symptoms and is not contagious. Patients with active TB, on the other hand, may have respiratory and systemic symptoms such as cough, hemoptysis, fever, chest pain and shortness of breath, and are more contagious. During the treatment of pulmonary tuberculosis, care is usually important, mainly including disease care, life care and psychological care. I. Disease care: 1. For patients with infectious tuberculosis, isolation treatment needs to be arranged during hospitalization, and a series of isolation and disinfection measures need to be taken. The ward needs to be kept well ventilated, disinfected daily, clothes and blankets are disinfected regularly by ultraviolet light, and sputum needs to be kept in a sputum cup with 84 disinfectant for centralized treatment. When patients cough or sneeze, they need to cover their mouths and noses with double napkins and burn the paper after use. Nursing staff need to wear masks when touching patients and wash their hands with flowing water and hand disinfectant after touching sputum. 2. For patients with hemoptysis in pulmonary tuberculosis, hemoptysis should be cleaned up in time to keep the airway unobstructed, and the amount and color of hemoptysis should be closely observed and recorded. Patients with massive hemoptysis need absolute bed rest, pay attention to the patient’s position, usually in the affected side, to keep the sputum drainage unobstructed and avoid asphyxia. And timely establishment of intravenous access to ensure the route of medication, appropriate use of sedative, cough and hemostatic drugs; 3. Patients with tuberculosis should take medication on time, quantitatively and regularly after discharge, and pay attention to the observation of adverse drug reactions. Anti-tuberculosis drugs may have some liver and kidney function damage or side effects, and need to pay more attention to observation. If physical discomfort occurs, you need to seek medical attention and ask the doctor to adjust the treatment plan. Second, life care: tuberculosis patients need to pay attention to more rest in daily life, avoid heavy physical activities, ensure sleep, do not smoke, do not drink alcohol, avoid spicy food stimulation. Nutrition needs to be strengthened, advocate more high-protein, easy-to-digest food, and ensure adequate intake of vitamins such as vegetables and fruits. At the same time, appropriate activities can be carried out, more out in the sun, walking, etc., more conducive to the recovery of the disease. Third, psychological care: tuberculosis has a long course, and patients have a variety of emotional changes, so medical care and family members should take the initiative to understand the psychological state of patients, and psychological care should be carried out according to the psychological characteristics of patients. The key to psychological care is to organize the emotional life of the patient and help the patient to achieve emotional self-restraint. Let TB patients have a good state of mind, which is conducive to physical recovery.