Nursing care of Pulmonary Tuberculosis : Case study 2 cases

Abstract

Purpose : To study nursing care of pulmonary tuberculosis : 2 cases.

Materials and Methods : We were case study of 2 patients with pulmonary tuberculosis, specifically selecting patients at the Tuberculosis Clinic, Phon Sai Hospital during February 2023 - September 2023. Tools used in the study Contains patient medical records Interviewing patients and relatives Comparative data analysis of pathological, symptoms, treatment, and evaluation nursing problems with health patterns 11 Gordon's Plan. Set official decision Nursing and discharge planning

Main findings : Case1, female 73year came to the hospital with a sore throat. Cough with white phlegm, mucus, dizziness, nausea, eating little, loss of appetite, weight loss 3 kilograms, fatigue. Right chest pain when coughing, fever every evening, A month before coming to hospital in 2018, had been treated for tuberculosis for 6 months, doctor ans Chest X-ray Multifocal nodular infiltration Rt lung with pacthy infiltration and fibrosis Rt. lower lung, AFB 3 days, AFB negative, Xpert MTB was detected, so the disease was diagnosed as Pulmonary Tuberculosis, received a basic tuberculosis medicine formula of 2 HRZE/CHR, screening household contacts, supervising medication intake (DOT), monitoring for adverse reactions from medication. Result of treatment after 6 months of drug treatment. Sputum AFB 2 sputum test, negative results, doctors consider that tuberculosis treatment has been successful.                                                                                                                                                                                                                 

Case  2: male 57years from Samkha Subdistrict Health Promoting Hospital sent for  chest X-ray screening in a group of high-risk diabetic patients and had a dry cough that came and went, fever in the afternoon, chills, and labored breathing. Loss of appetite, eating little, had it a day before coming to hospital. History: 3 months before coming to hospital, had fever, chills, shortness of breath, shortness of breath, dry cough, weight loss of 10 kilograms. Chest X-ray  found diffuse reticulonodular infiltration middle and upper both lung, AFB test 3days, AFB negative, Xpert MTB result detected, therefore diagnosed the disease as Pulmonary tuberculosis, received basic tuberculosis medicine formula 2 HRZE/CHR, screening household contacts, supervising medication intake (DOT), monitoring symptoms. Desired from medicine Results of treatment after 6 months of medication completion. Sputum AFB 6 sputum test. Negative results, doctors consider that tuberculosis treatment has been successful.

Conclusion and recommendations : The results of this study indicate that screening and treatment of pulmonary tuberculosis patients will help reduce the spread of infection. and reduce violence Reduce the patient's drug resistance rate. Therefore, nurses need to have knowledge Skills that were Special, including the need for systematic nursing guidelines to help keep patients safe and have a good quality of life.