我院对TB／HIV双重感染患者的综合管理方法

目的探讨TB／HIV双重感染患者在结核门诊治疗的综合管理方法。方法确诊病例以城区为单位划片管理，督导护士负责患者门诊治疗全程督导：执行治疗方案与用药及消毒隔离指导、培训家庭督导员、访视等综合管理工作。结果16例痰涂片阳性TB／HIV双重感染患者肺结核治愈15例，1例死亡。40例痰涂片阴性TB／HIV双重感染患者，其中22例完成化疗疗程，肺结核治愈，定期门诊复查或继续接受抗病毒治疗。56例患者在门诊接受综合管理中，未发生护理差错和护患纠纷，对护理服务表示满意。结论有效的综合管理可使TB／HIV双蕈感染患者在结核门诊完成化疗疗程。

Comprehensive management methods of TB/HIV dual infection patients in our hospital

Objective To explore the methods of comprehensive management of TB/HIV dual infection patients in tuberculosis clinics. Methods The confirmed cases were managed by areas they lived. Supervision nurses were responsible for the full process supervision of outpatient treatment, which included im-plementation of treatment and medication administration, disinfection guidance, training family supervisors, home visiting and so on. Results Of the 16 TB/HIV dual infection patients with sputum smear positive,15 cases were cured and one died. Of the 40 TB/HIV dual infection patients with sputum smear negative, 22 cases completed the chemotherapy treatment and were cured and visited clinics or received anti - virus therapy regularly. Conclusion Effective comprehen-sive management can help the TB/HIV dual infection patients complete the chemotherapy treatment in tuberculosis clinics.