Rehabilitation Nursing for Pulmonary Tuberculosis Patients with Comorbidities and Preparation to Return to Society : 2 case studies

Abstract

Tuberculosis is an important communicable disease and a public health concern worldwide. It is highly contagious and spreads easily. This may lead to complications and longer the duration of treatment and the higher the cost per case in TB patients with other complications, the more time and specific of treatment is required. Therefore, providing standardized and effective nursing care will help patients safe, reduce complications and have a greater chance of returning to normal. This study was to study the rehabilitation nursing care of patients with pulmonary tuberculosis with comorbidities and preparation for social reintegration. A case study of 2 cases admitted in an isolated room in the male internal medicine ward, Kalasin Hospital. The instrument used to collect data were of data recording forms, medical records, observations, and participant interviews. Data were analyzed by pathological information, symptoms, treatment, and the Gordon's 11 Pattern for Nursing Health Problem Assessment to determine diagnosis and provide nursing care, including evaluated nursing outcomes in 2 phases: treatment phase, rehabilitation phase and social reintegration planning. Results: Case 1, a 48-year-old Thai man. The main symptoms were fatigue, chronic cough, slight chest tightness, difficulty breathing and body weight lost 5 kg. he was diagnosed with pulmonary tuberculosis with high blood pressure and dyslipidemia. Case 2, a 52-year-old Thai man. The main symptoms were frequent hemoptysis, low-grade fever all night, exhaustion. body aches Mild chest tightness, shortness of breath, after coughing and body weight lost 6 kg, and he was diagnosed with pulmonary tuberculosis with silicosis with type 2 diabetes mellitus. This study reveal that nurse a crucial role in assessment of the problem of patients. Nursing therefore focuses on educating Practice in the rehabilitation and continuation of treatment Focus on preventing the spread of infection and receiving germs from others. Including information about silicosis to workers in the workplace to prevent recurrence of the disease in others.