Application effect of hospital-community-family cooperative extended care in chronic tuberculous empyema patients with thoracic duct after surgery

Abstract

Objective To explore the application effect of hospital-community-family cooperative extended care in chronic tuberculous pyothorax patients, who were discharged from hospital with chest tube postoperatively. Methods From June 2014 and December 2016, 50 patients, who were needed to discharge from department of tuberculosis surgery of tuberculosis diagnosing and treatment center of Hangzhou Red Cross Hospital with chest tube after the operation of chronic tuberculous empyema were selected as the research object. And the patients were divided into the control group and experimental group through random sampling method, 25 cases in each group. Patients in the control group received routine nursing care, patients in the experimental group received hospital-community-family cooperative extended care based on the care of the control group. One month later, the rate of catheter related complications, self-care ability, satisfaction and extubation time of the two groups were evaluated and compared. Results One case of catheter-related complications in the experimental group compared with 8 cases of that in the control group. The incidence rate had a statistically significant difference (χ2=4.878, P<0.05) . The scores of self-care ability in the experimental group were higher than those in the control group in the level of health knowledge, self-concept, self-care responsibility and self-care skills. There were significant differences between two groups (t=3.056 7, 2.463 7, 3.150 3, 3.745 6; P<0.05) ; In the time of extubation, the extubation time of the experimental group and the control group was (10.24±4.14) days and (15.36±7.12) days, respectively, and the difference between the two groups was statistically significant (t=3.108 3; P<0.05) . Conclusions Hospital-community-family cooperative continuing nursing care can reduce catheter related complications, and improve the patient's self-care ability and the satisfaction of patients, shorten the extubation time indirectly, promote early rehabilitation of the discharged patients with thoracic duct after chronic tuberculous empyema surgery. Key words: Empyema, tuberculous; Discharge with thoracic duct; Extended care; Hospital-community-family