Clinical Characteristics and Nursing Countermeasure of Pregnant/Delivery Women with Tuberculosis_West China Medical Journal

Authors：

 WANBin ,  CAOYan , ZENGLi

Nursing Department, the Public Health Clinical Center of Chengdu, Chengdu, Sichuan 610061, P. R. China;

Corresponding author：

CAOYan, Email: jidaijin@163.com

Keywords：

Pregnant women; Tuberculosis; Clinical characteristics; Prognosis; Nursing countermeasure

DOI：

10.7507/1002-0179.20150603

Video：

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Objective To discuss clinical characteristics and nursing countermeasure of pregnant/delivery women with tuberculosis. Methods From January 2012 to December 2013, 52 cases of pregnant women complicated with tuberculosis were included. We offered specific nursing according to the psychological counseling, reasonable administration, diet nursing, fever and prevention of hospital infection on the base of their clinical features, and then analyzed the effect. Results In 52 patients who had undergone the tuberculosis and obsterrics and gynecology treatment, 4 puerperal patients died of severe pneumonia and multiple organ failure; in 48 gestational patients with tuberculosis, 23 early-middle term patients accept termination of pregnancy, and in 25 middle-late term patients, 3 had full-term natural labor, 4 underwent full-term cesarean section, 5 had premature labor, and 13 continued the pregnacy. Sixteen neonatus (including 4 given at the other hospitals) had normal results of physical examination without any deformity, in whom 5 had low body weight (body weight less than 2500 g), with negative results of tuberculin test and the result of 3-moth follow-up was normal. Three months after the anti-tuberculosis treatment, the lesion was obviously absorbed in 25 patients and in 23 patients within half of a year. No patients had hospital infection. Conclusion Nursing care of pregnant patients with tuberculosis should strengthen the guidance on the patients health education, improve their compliance and self-protection knowledge. Also should strengthen the basic level medical personnel training and improve the ability of early diagnosis of tuberculosis and early treatment to reduce maternal mortality.

Citation： WANBin, CAOYan, ZENGLi. Clinical Characteristics and Nursing Countermeasure of Pregnant/Delivery Women with Tuberculosis. West China Medical Journal, 2015, 30(11): 2133-2136. doi: 10.7507/1002-0179.20150603 Copy

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1. 张杏怡. 妊娠合并结核病的化学治疗[J]. 医药导报, 2000, 19(1):17-18.
2. 庞小燕. 孕产妇患结核性脑膜炎的原因分析及护理对策[J]. 承德医学院学报, 2006, 23(4):389-390.
3. 贺燕. 妊娠合并肺结核病9例临床分析[J]. 基层医学论坛, 2012, 16(29):3926-3927.
4. 孙玉红, 高颖. 妊娠合并肺结核患者的心理分析及护理[J]. 临床肺科杂志, 2007, 12(7):752.
5. 陈惠玲. 妊娠合并肺结核患者的身心支持及护理[J]. 临床肺科杂志, 2008, 13(8):1085-1086.
6. 王建霞. 15例妊娠合并肺结核病人的临床护理体会[J]. 医学理论与实践, 2012, 25(19):2430-2431.
7. 蒋燕红. 妊娠合并肺结核23例临床治疗与护理[J]. 齐鲁护理杂志, 2012(26):80-82.
8. 迟俊玲, 郭玉曼, 李莉艳, 等. 延伸护理对妊娠合并肺结核出院患者的影响[J]. 现代医学, 2012, 40(2):239-240.
9. 杨秋菊, 徐燕. 妊娠合并肺结核病病人的护理[J]. 中华临床医药与护理, 2005, 3(2):49-50.
10. 中华医学会结核分会. 肺结核诊断和治疗指南[J]. 中华结核和呼吸杂志, 2001, 24(2):5-9.
11. 端木宏谨. 临床诊疗指南:结核病分册[M]. 北京:人民卫生出版社, 2004:2-3.
12. 吴同柱, 朱木新. 38例妊娠合并结核病误诊原因分析[J]. 临床肺科杂志, 2013, 18(4):716-717.
13. 陈建华, 王晓燕, 刘永利. 妊娠合并肺结核的合理治疗[J]. 临床肺科杂志, 2004(5):508.
14. 张敦熔. 现代结核病学[M]. 北京:人民军医出版社, 2000:552-555.
15. 肖东楼, 王琦, 朱莉贞, 等. 抗结核药品不良反应诊疗手册[M]. 北京:人民卫生出版社, 2009:25.
16. 周爱梅. 肺结核孕妇心理调查及护理干预效果评价[J]. 河北医药, 2013, 35(11):1737-1738.
17. 吴瑕, 陈倩盈. 健康教育对肺结核患者用药依从性的影响[J]. 中国健康教育, 2007, 23(4):304-305.
18. 林影, 蒋佩茹. 妊娠合并肺结核 23 例临床分析[J]. 中华传染病杂志, 2010, 2(1):49-52.
19. 王颖, 宋锦平, 冯萍. 临床护理指南:传染科护理手册[M]. 北京:科学出版社, 2011:242-245.
20. 糜若然. 妇产科疾病诊断治疗学[M]. 北京:中国医药科技出版社, 2000:257-287.
21. 高三友, 马士文, 甄新安, 等. 县级综合医院医务人员结核病防制知识调查[J]. 中国公共卫生, 2006, 22(7):854-855.

West China Medical Journal

Clinical Characteristics and Nursing Countermeasure of Pregnant/Delivery Women with Tuberculosis

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