Feedforward Control-Based Bundle Management for Hemoptysis in Pulmonary Tuberculosis Patients

Area of Science:

• Nursing Interventions
• Pulmonary Tuberculosis Management
• Hemoptysis Control

Background:

• Pulmonary tuberculosis (TB) patients often experience hemoptysis, a serious complication.
• Standard nursing interventions may not fully address the complexities of hemoptysis management in TB.
• Feedforward control offers a proactive approach to managing complex patient care pathways.

Purpose of the Study:

• To evaluate the construction and application of a feedforward control-based bundle management system.
• To assess the system's effectiveness in nursing interventions for hemoptysis in pulmonary TB patients.
• To compare clinical outcomes and patient assessments between standard care and the new intervention.

Main Methods:

• Retrospective study of 112 hospitalized pulmonary TB patients with hemoptysis.
• Intervention group (n=59) received feedforward control bundle management; control group (n=53) received standard care.
• Outcomes measured: time to stop hemoptysis, hospital stay, recurrence, massive hemoptysis, surgery rates, complications, compliance, anxiety (HAMA), and satisfaction (PSQ-18).

Main Results:

• The intervention group showed significantly shorter time to stop hemoptysis (P <0.001).
• Lower rates of hemoptysis recurrence, massive hemoptysis, and bronchial artery embolization in the intervention group (P <0.05).
• Improved patient compliance and satisfaction, and reduced anxiety (HAMA scores) in the intervention group (P <0.001).

Conclusions:

• Feedforward control bundle management effectively prevents hemoptysis recurrence and severity in pulmonary TB.
• This strategy shortens hemoptysis duration, reduces asphyxia-related incidence and mortality, and enhances patient well-being.
• The approach significantly improves patient compliance, satisfaction, and anxiety levels.