Preventive nursing care of senile bronchiectasis

The state has taken a series of public health measures to prevent diseases and promote health, and the following preventive measures should be taken against this disease. First of all, carry out health education, improve the immune level of the population, prevent diseases and organize vaccination. Eliminate inducing factors; Improve health, improve disease resistance, pay attention to reasonable nutrition and diet; Exercise regularly and cultivate good behavior and lifestyle; Maintain a good attitude and social adaptability. Environmental protection: take protective measures for the atmosphere, water, soil and food, formulate environmental protection laws and regulations and health standards, create and maintain a natural and social environment beneficial to physical and mental health, and reduce pathogenic factors. After 1992, China formulated "China Agenda 2 1 century", which ensured the implementation of sustainable development strategy in China and made people gradually realize the importance of the relationship between human survival and environmental protection. Secondly, we should do a good job in pre-clinical prevention, that is, early detection, early diagnosis and early treatment in the early stage of the disease, control the development and deterioration of the disease, and prevent the recurrence or chronic disease. Regular health check-ups should be conducted for early detection and diagnosis. Such as measles, whooping cough and BCG. Patients with pulmonary tuberculosis should be treated in isolation at an early stage and antibiotics should be used reasonably under the guidance of doctors. In the treatment of chronic sinusitis and tonsillitis, attention should be paid to prevent foreign bodies from being inhaled into the trachea, and once found, they should be taken out through fiberoptic bronchoscope. Prevention and treatment of bronchitis. For sick patients, we should prevent or reduce the occurrence of respiratory tract infection, keep respiratory tract unobstructed and sputum drainage, and use antibiotics reasonably. The location of the focus is limited, and those with poor medical treatment effect of repeated hemoptysis should be surgically removed. Risk factors and intervention measures: In terms of physiological function, with the increase of age, the organ function of the elderly gradually declines, and the role of the body's regulatory mechanism decreases. Respiratory physiology is characterized by weakened defensive reflex, such as cough reflex, decreased cell-mediated immune function and weakened bronchial ciliary movement, which increases the chance of respiratory tract infection, weakens the elasticity of lung and thorax, leads to weakened elastic retraction of thorax and lung, collapse of alveoli around lung, increased anatomical shunt, unbalanced ventilation blood flow ratio, increased airway resistance, uneven gas distribution, fibrosis of lung tissue in the elderly, decreased capillary bed, and decreased dispersion, leading to decreased respiratory function, hypoxia, and so on. Psychologically, due to the changes of family and social environment, people will show different behavioral obstacles in their later years, such as loneliness, suspicion, inferiority, depression, emotional instability and so on. The establishment of a care and security organization for the whole society and the implementation of all-round care are not limited to diseases, but also take into account the influence of material, spiritual, social and natural environment factors, including the whole happy life of the elderly, including organizing the elderly to carry out various cultural and sports activities and mutual assistance activities that are beneficial to their physical and mental health. Community intervention: First, establish and improve the health records and systematic management of the elderly, conduct surveys according to the differences in health status, quality of life and required services of the elderly in the community, and scientifically analyze and evaluate the data obtained from the survey, on this basis, establish the health records of the elderly, and analyze their self-care ability and age-related diseases through registration and health examination of the elderly in the community. Give different medical care, implement hierarchical system management, and provide a series of continuous health care measures from health education and psychological counseling to outpatient treatment and daily life care. At the same time, establish and improve the social medical care network for the elderly. Community elderly system management needs the support and cooperation of all social departments, community doctors should bear the main responsibility, and the health and non-health departments in the community should work together to establish and improve the community elderly health care network. In addition to the Ministry of Health, governments at all levels, from central to local, have set up offices for the elderly to coordinate and support the health care of the elderly.