Title: Clinical care and health guidance of diabetes patient with tuberculosis
ABSTRACT
Objectives: It is easy for the diabetes patient with tuberculosis to cause positive sputum ,incidence of cavitation and high rate of relapse. And it is harder to cure to the isolated diabetes or tuberculosis. To improve healing efficacy of diabetes patient with tuberculosis, we should to control blood glucose ,promote sputum negative conversion , focus absorption ,reduce reservoir and prevent complication occurrence.
Methods: 60 diabetes patients with tuberculosis in hospital from November 2008 to August 2009 were divided into to groups at random pair. There was no statistically significant difference in sex, age and patient's condition. 30 cases of control group were gave diets , medication (antitubercular agent include retozide, rifampicin, ethambutol , pyrazinamide , streptomycin, insulin and OHA) and generic health guidance. Except for routine treatment , 30 cases of experimental group was given a series of purposive and prepense of health education.And these were guided and educated by Professional nurses. Then we observed these patients of blood sugar , sputum negative conversion and focus absorption of chest X –ray. The two groups was compared and evaluated at regular intervals.
Results: The experimental group was better in blood sugar , cases of sputum negative conversion and focus absorption than the control group. It had statistical significance(p<0.05).
Conclusion: It was essential to implement clinical care and health guidance for the diabetes patient with tuberculosis .And it was very necessary to control blood glucose and weight of the patients and to promote focus absorption.
Key Words: diabetes; tuberculosis ; nurse ; health education