The influence of urban-rural united and continuous care on the intensive treatment of multi-drug-resistant pulmonary tuberculosis patients inserted with PICC

Abstract

Objective To summarize the effect of urban-rural united and continuous care on the intensive treatment of multi-drug-resistant pulmonary tuberculosis patients inserted with PICC. Methods A total of 32 multi-drug-resistant pulmonary tuberculosis patients who applied PICC for standardized treatment for a long term after discharge were given the urban-rural united and continuous care and PICC was implanted during their hospitalization. The rural doctors of the patients' residence were given PICC application training before their discharge.The patients were discharged inserted with PICC when the sputum bacterium turned negative and the daily infusion was finished by the rural doctors. The nurses made the follow-up visit twice a week to maintain the catheters and to supervise drug use.The application of PICC and the completion of intensive treatment were evaluated after 3, 6 and 9 months' intensive treatment. Results Among the 32 cases of patients, 1 case was lost for the follow-up visit and 1 case was forced to withdraw the tube because of the exhaustion of the kidney function.The completion rate during the intensive-treatment period with the application of PICC was 93.8%.The relationship between nurses and patients was harmonious in the process of follow-up and the satisfaction rate for nursing reached 100%, which lay a sound foundation for the completion of the entire standardized treatment. Conclusions Urban-rural united and continuous care can improve the long-term usage of PICC and enhance the completion rate of intensive treatment of the multi-drug-resistant tuberculosis, hence it is worth promoting. Key words: Multidrug-resistant tuberculosis; PICC; Continuous care