Nursing Care in Tuberculosis among Hospital Staffs: 2 Case Studies

Abstract

Objective : 2 case studies to compare patients nursing care in Tuberculosis among Hospital Staffs.

Methods : A comparative 2 case studies with purposive sampling selected from Hospital staffs of Mahasarakham Hospital who were infected with tuberculosis and received treatment with tuberculosis drugs. Collecting information from patient’s relatives and hospital medical, taking patients history and relatives. Take data analyzed and compared with pathology, signs&symptoms and treatment.  Using the 11 Gordon Health Patterns for assessment to determine nursing diagnosis and patient discharge planning. Study during between 25 May 2023 – 20 December 2023.

Results : Case 1 is a 27-year-old Thai woman who is a professional nurse in the obstetric ward. Operate in a causal manner annual health check-up 2023 radiographic results showed reticulonodular infiltration at left upper lobe. Sputum test results showed TB on day 3, confirming Pulmonary TB. Have a history of bilateral surgery Lt. Oophorectomy 2 weeks before the annual health check-up. Hct and Hb were found to be lower than normal, so they were at greater risk of activity tolerance than in the second case. SGOT and SGPT were found to be higher than normal. No jaundice, yellow eyes, normal eating. The second patient is a 45-year-old Thai woman who is a life nurse on HIV clinic in Mahasarakham Hospital. Annual health check-up results 2023 radiographs showed increased focal opacity lesion at lateral aspect of left upper hemi thorax with lumps on 2 breast masses. Sputum test results did not detect TB. Health perceptions that there was an abnormal CXR result. It is a chronic focal pleural thickeny since 2021. The sputum test results did not detect TB, but confirmed the diagnosis of TB from CT results throughout treatment. Joint pain and noise are found in the joints when moving. After 2 weeks of co-care at physical therapy, general symptoms improved. Eating little, losing appetite, losing 1 kg in 6 weeks, no signs and symptoms of drug allergy.

Conclusion : Studies suggest that rapid screening and treatment of patients with tuberculosis reduces the spread of infection, severity and complications that are life-threatening. Therefore, nurses need to have knowledge, attitude and practical skills in working with a multidisciplinary team will be help keep patients safe and have a better quality of life.