预见性护理干预对ICU脑出血患者肺部感染的预防价值
|
摘要
目的分析预见性护理干预对ICU脑出血患者肺部感染的预防价值。方法选取我院ICU 2014年5月至2017年6月收治的80例脑出血患者,根据入院时间顺序分为观察组和对照组各40例。对照组实施常规护理,观察组实施预见性护理干预。比较两组患者的肺部感染发生率、死亡率、住院时间、感染持续时间和不良反应情况。结果观察组的肺部感染发生率和死亡率分别为32.5%、 5.0%,明显低于对照组的55.0%、 20.0%(P <0.05)。观察组的感染持续时间和住院时间均明显短于对照组(P <0.05)。观察组的不良反应的发生率为7.5%,明显低于对照组的25.0%(P <0.05)。结论预见性护理干预可有效降低ICU脑出血患者的肺部感染发生风险,缩短感染持续时间和住院时间,降低死亡率,值得推广应用。
Objective To analyze the preventive value of foreseeable nursing intervention on pulmonary infection of ICU patients with cerebral hemorrhage. Methods 80 cases of patients with cerebral hemorrhage admitted to ICU of our hospital from May 2014 to June2017 were selected and divided into observation group and control group according to the admission order, with 40 cases in each group. The control group was given routine nursing, while the observation group was given foreseeable nursing intervention. The incidence of pulmonary infection, mortality, hospitalization time, duration of infection and adverse reactions were compared between the two groups.Results The incidence of pulmonary infection and mortality of the observation group were respectively 32.5% and 5.0%, significantly lower than 55.0% and 20.0% of the control group(P <0.05). The duration of infection and hospitalization time of the observation group were significantly shorter than those of the control group(P <0.05). The incidence of adverse reactions of the observation group was 7.5%,significantly lower than 25.0% of the control group(P <0.05). Conclusions Foreseeable nursing intervention can effectively reduce the risk of pulmonary infection in ICU patients with cerebral hemorrhage, shorten the duration of infection and hospitalization time, and lower the mortality, which is worthy of promotion and application.
Objective To analyze the preventive value of foreseeable nursing intervention on pulmonary infection of ICU patients with cerebral hemorrhage. Methods 80 cases of patients with cerebral hemorrhage admitted to ICU of our hospital from May 2014 to June2017 were selected and divided into observation group and control group according to the admission order, with 40 cases in each group. The control group was given routine nursing, while the observation group was given foreseeable nursing intervention. The incidence of pulmonary infection, mortality, hospitalization time, duration of infection and adverse reactions were compared between the two groups.Results The incidence of pulmonary infection and mortality of the observation group were respectively 32.5% and 5.0%, significantly lower than 55.0% and 20.0% of the control group(P <0.05). The duration of infection and hospitalization time of the observation group were significantly shorter than those of the control group(P <0.05). The incidence of adverse reactions of the observation group was 7.5%,significantly lower than 25.0% of the control group(P <0.05). Conclusions Foreseeable nursing intervention can effectively reduce the risk of pulmonary infection in ICU patients with cerebral hemorrhage, shorten the duration of infection and hospitalization time, and lower the mortality, which is worthy of promotion and application.
引文
[1]王凤,邹春梅,吴翠平,等.早期护理干预对脑出血患者肺部感染的影响[J].现代中西医结合杂志, 2014, 23(11):1241-1242.
[2]陈秀琴.系统护理预防脑出血患者肺部感染的效果观察[J].中国实用神经疾病杂志, 2016, 19(24):141.
[3]刘月荣.预见性护理对减少高血压脑出血患者肺部感染的作用[J].国际护理学杂志, 2013, 32(9):2042-2043.
[4]朱成秀. ICU脑出血患者实施预防性护理干预对其肺部感染的影响[J].广州医科大学学报, 2016, 44(2):113-115.
[5]袁美珍,李凤,刘光维.脑出血患者发生肺部感染危险因素的Meta分析[J].中国实用护理杂志, 2015, 31(12):859-864.
[6]刘晓静.浅析ICU脑出血患者的肺部感染危险因素与护理对策[J].中国伤残医学, 2016, 24(3):190-191.
[7]耿希华.护理干预对ICU脑出血患者预防肺部感染的有效性[J].实用临床医药杂志, 2016, 20(18):11-13.
[8]李静.预防性护理模式对ICU脑出血患者肺部感染的控制效果观察[J/CD].中西医结合心血管病杂志(电子版), 2016, 4(34):32, 34.
[9]王建玲,陶胜波,贾爱兰,等.脑出血患者并发肺部感染的相关危险因素及预防对策[J].中华医院感染学杂志, 2017, 27(3):566-568.
[10]崔慧.脑出血患者肺部感染原因及护理干预分析[J].社区医学杂志, 2017, 15(4):67-69.
[11]张亚琴.脑出血合并肺部感染原因分析及护理[J].护士进修杂志,2012, 27(10):954.
[12]高萍.预防性护理干预对脑出血急性期并发症的影响[J].贵阳中医学院学报, 2013, 35(3):223-224.
[2]陈秀琴.系统护理预防脑出血患者肺部感染的效果观察[J].中国实用神经疾病杂志, 2016, 19(24):141.
[3]刘月荣.预见性护理对减少高血压脑出血患者肺部感染的作用[J].国际护理学杂志, 2013, 32(9):2042-2043.
[4]朱成秀. ICU脑出血患者实施预防性护理干预对其肺部感染的影响[J].广州医科大学学报, 2016, 44(2):113-115.
[5]袁美珍,李凤,刘光维.脑出血患者发生肺部感染危险因素的Meta分析[J].中国实用护理杂志, 2015, 31(12):859-864.
[6]刘晓静.浅析ICU脑出血患者的肺部感染危险因素与护理对策[J].中国伤残医学, 2016, 24(3):190-191.
[7]耿希华.护理干预对ICU脑出血患者预防肺部感染的有效性[J].实用临床医药杂志, 2016, 20(18):11-13.
[8]李静.预防性护理模式对ICU脑出血患者肺部感染的控制效果观察[J/CD].中西医结合心血管病杂志(电子版), 2016, 4(34):32, 34.
[9]王建玲,陶胜波,贾爱兰,等.脑出血患者并发肺部感染的相关危险因素及预防对策[J].中华医院感染学杂志, 2017, 27(3):566-568.
[10]崔慧.脑出血患者肺部感染原因及护理干预分析[J].社区医学杂志, 2017, 15(4):67-69.
[11]张亚琴.脑出血合并肺部感染原因分析及护理[J].护士进修杂志,2012, 27(10):954.
[12]高萍.预防性护理干预对脑出血急性期并发症的影响[J].贵阳中医学院学报, 2013, 35(3):223-224.