摘要
目的:探究结核菌素实验反应的原因以及护理干预对策。方法:选取2021年6月~2022年10月门诊进行结核菌素试验的103名受试者作为研究对象,统计103名受试者的反应情况,包括局部强反应与全身反应的发生情况。对各种不同的反应原因分析,并针对原因分析结果提出相应的护理干预对策。结果:在103例患者中,反应发生率为13.59%,其中7.77%为局部强反应,5.83%为全身反应。发生反应的患者在经过及时处理后未引起严重不良事件。局部强反应包括双圈、水疱、硬结与淋巴管炎,均为判断为试验阳性的反应。全身反应包括发热、头晕、低血压和瘙痒,与结核菌素试验后的变态反应、患者的情绪、患者的体质、注射室环境、药物、疾病有关。结论:对结核菌素试验患者应当加强实施健康宣教、既往病史与用药史调查、心理干预、环境护理,并加强对全身性不良反应的观察,以便及时处理,避免发生严重不良事件。
Objective To explore the causes of tuberculin experimental reaction and nursing intervention measures.Methods 103 subjects who underwent tuberculin test in the outpatient department from June 2021 to October 2022 were selected as the study subjects,and the reactions of 103 subjects were counted,including the occurrence of local strong reactions and systemic reactions.Analyze the causes of various reactions,and put forward corresponding nursing intervention countermeasures according to the results of the analysis.Results In 103 patients,the reaction rate was 13.59%,of which 7.77%was local strong reaction and 5.83%was systemic reaction.The patients who responded did not cause serious adverse events after timely treatment.Local strong reactions include double loops,blisters,induration and lymphangitis,all of which are judged as positive reactions.Systemic reactions include fever,dizziness,hypotension and itching,which are related to the allergy after tuberculin test,the patient's mood,the patient's constitution,the injection room environment,drugs and diseases.Conclusion For tuberculin test patients,health education,investigation of past medical history and medication history,psychological intervention,environmental care,and observation of systemic adverse reactions should be strengthened in order to deal with them in time and avoid serious adverse events.
出处
《黑龙江中医药》
2023年第1期272-274,共3页
Heilongjiang Journal of Traditional Chinese Medicine
关键词
结核菌素试验
局部反应
全身反应
护理干预
Tuberculin test
Local reaction
Systemic reaction
Nursing intervention
