重症再生障碍性贫血感染的护理及预防
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摘要
目的:探讨重症再生障碍性贫血感染的护理及预防措施。方法:将重症再生障碍性贫血并发感染患者100例按照随机数字表法分为观察组与对照组各50例,观察组实施针对性护理,对照组实施常规护理,主要以观察患者病情发现异常及时通知医师处理,并遵医嘱进行临床护理为主。观察2组患者感染发生部位的分布特点,感染控制时间,治疗依从性及护理满意度。结果:2组患者感染以呼吸系统最常见,其次为泌尿系统和消化系统,皮肤软组织感染及其他部位(如颅内感染,关节腔内感染等)少见,观察组感染控制时间快于对照组(P<0. 05),治疗依从性高于对照组(P<0. 05),护理满意度优于对照组(P<0. 05)。结论:重症再生障碍性贫血患者感染以呼吸系统最常见,实施针对性护理干预能促进患者感染控制情况,提高治疗依从性及护理满意度。
Objective: To explore the nursing and preventive measures of grave aplastic anemia accompnying infection. Methods: All 100 patients with grave aplastic anemia accompanying infection were randomly allocated to the observation group and the control group according to random number table method, the observation group were given corresponding nursing intervention, and the control group conventional nursing, which contained observing the disease conditions of the patients and notifying the doctor when something unusual were found out, performing clinical care by following the doctors' advice mainly. Nursing satisfaction degrees, therapeutic compliance, infection control time and distribution features of infection site of the patients were observed. Results: In both groups, the infection of respiratory system was the most common, the next were urinary system and digestive system, the infection of skin and soft tissue and other sites(such as intracranial infection, intraarticular infection and others) are rare to see, the observation group was more rapid than the control group in infection control time(P<0.05), higher than the control group in therapeutic compliance(P<0.05), suprtior to the contronl group in nursing satisfaction degree(P<0.05). Conclusion: The infection of the respiratory system is the most common for the patients with grave aplastic anemia, implementing effective nursing intervention could promote infection control conditions of the patients, raise therapeutic compliance and nursing satisfaction degree.
Objective: To explore the nursing and preventive measures of grave aplastic anemia accompnying infection. Methods: All 100 patients with grave aplastic anemia accompanying infection were randomly allocated to the observation group and the control group according to random number table method, the observation group were given corresponding nursing intervention, and the control group conventional nursing, which contained observing the disease conditions of the patients and notifying the doctor when something unusual were found out, performing clinical care by following the doctors' advice mainly. Nursing satisfaction degrees, therapeutic compliance, infection control time and distribution features of infection site of the patients were observed. Results: In both groups, the infection of respiratory system was the most common, the next were urinary system and digestive system, the infection of skin and soft tissue and other sites(such as intracranial infection, intraarticular infection and others) are rare to see, the observation group was more rapid than the control group in infection control time(P<0.05), higher than the control group in therapeutic compliance(P<0.05), suprtior to the contronl group in nursing satisfaction degree(P<0.05). Conclusion: The infection of the respiratory system is the most common for the patients with grave aplastic anemia, implementing effective nursing intervention could promote infection control conditions of the patients, raise therapeutic compliance and nursing satisfaction degree.
引文
[1]秦云.12例重型再生障碍性贫血的护理体会[J].航空航天医学杂志,2016,27(10):1297-1298.
[2]马婷婷.1例慢性再生障碍性贫血合并足部感染护理[J].齐齐哈尔医学院学报,2013,34(8):1178.
[3]王嘉绚.1例重度苯中毒致再生障碍性贫血患者的护理[J].中国药物经济学,2013(增刊):431-432.
[4]罗玉勤.1例重型再生障碍性贫血患者并发鼻唇部感染的护理[J].现代临床护理,2015,14(11):73-75.
[5]万鼎铭,陈晓娜,曹伟杰,等.父母供者外周血单倍体移植治疗儿童难治性重型再生障碍性贫血[J].中国组织工程研究,2015,19(50):8095-8101.
[6]王红艳,郭战冰,宋美娟,等.二次抗淋巴细胞球蛋白治疗重型再生障碍性贫血的临床观察及护理[J].护士进修杂志,2013,28(14):1270-1272.
[7]吴晶.48例慢性再生障碍性贫血的护理体会[J].吉林医学,2013,34(28):5926-5927.
[8]刘春燕,付蓉.2016年英国再生障碍性贫血诊治指南解读[J].中国实用内科杂志,2017,37(8):712-715.
[9]刘红霞.慢性再生障碍性贫血辨证分型护理分析[J].光明中医,2016,31(12):1806-1807.
[10]朱荣琼.护理干预在重型再生障碍性贫血患者预防感染中的应用探析[J].世界最新医学信息文摘,2015,15(100):275-276.
[11]李莲华.研讨27例再生障碍性贫血的护理体会有效控制并发症的产生[J].中国保健营养,2013,23(3):722.
[12]徐晓敏,张琳敏,支芸.优质护理在重型再生障碍性贫血合并感染患者中的应用[J].医疗装备,2016,29(18):164-165.
[13]张洁.穴位贴敷配合ATG治疗再生障碍性贫血护理体会[J].辽宁中医药大学学报,2016,18(10):148-150.
[14]李晓红.小儿慢性再生障碍性贫血25例观察[J].现代诊断与治疗,2013,24(20):4754.
[15]徐琳,陈慈珊,邱新香,等.职业性慢性苯中毒所致再生障碍性贫血患者并发症预见性护理[J].中国职业医学,2013,40(4):311-312.
[16]梁娟,潘丽雅.重型再生障碍性贫血并发感染的观察与护理要点分析[J].人人健康,2016(2):165-166.
[17]于静,郭淑霞,孙婧.重型再生障碍性贫血并发感染的观察与护理[J].临床医药文献杂志,2016,3(30):5996.
[18]李娜,于晓娜,张美平.再生障碍性贫血患者感染的预见性护理对策探讨[J].中国保健营养,2015,25(6):146-149.
[2]马婷婷.1例慢性再生障碍性贫血合并足部感染护理[J].齐齐哈尔医学院学报,2013,34(8):1178.
[3]王嘉绚.1例重度苯中毒致再生障碍性贫血患者的护理[J].中国药物经济学,2013(增刊):431-432.
[4]罗玉勤.1例重型再生障碍性贫血患者并发鼻唇部感染的护理[J].现代临床护理,2015,14(11):73-75.
[5]万鼎铭,陈晓娜,曹伟杰,等.父母供者外周血单倍体移植治疗儿童难治性重型再生障碍性贫血[J].中国组织工程研究,2015,19(50):8095-8101.
[6]王红艳,郭战冰,宋美娟,等.二次抗淋巴细胞球蛋白治疗重型再生障碍性贫血的临床观察及护理[J].护士进修杂志,2013,28(14):1270-1272.
[7]吴晶.48例慢性再生障碍性贫血的护理体会[J].吉林医学,2013,34(28):5926-5927.
[8]刘春燕,付蓉.2016年英国再生障碍性贫血诊治指南解读[J].中国实用内科杂志,2017,37(8):712-715.
[9]刘红霞.慢性再生障碍性贫血辨证分型护理分析[J].光明中医,2016,31(12):1806-1807.
[10]朱荣琼.护理干预在重型再生障碍性贫血患者预防感染中的应用探析[J].世界最新医学信息文摘,2015,15(100):275-276.
[11]李莲华.研讨27例再生障碍性贫血的护理体会有效控制并发症的产生[J].中国保健营养,2013,23(3):722.
[12]徐晓敏,张琳敏,支芸.优质护理在重型再生障碍性贫血合并感染患者中的应用[J].医疗装备,2016,29(18):164-165.
[13]张洁.穴位贴敷配合ATG治疗再生障碍性贫血护理体会[J].辽宁中医药大学学报,2016,18(10):148-150.
[14]李晓红.小儿慢性再生障碍性贫血25例观察[J].现代诊断与治疗,2013,24(20):4754.
[15]徐琳,陈慈珊,邱新香,等.职业性慢性苯中毒所致再生障碍性贫血患者并发症预见性护理[J].中国职业医学,2013,40(4):311-312.
[16]梁娟,潘丽雅.重型再生障碍性贫血并发感染的观察与护理要点分析[J].人人健康,2016(2):165-166.
[17]于静,郭淑霞,孙婧.重型再生障碍性贫血并发感染的观察与护理[J].临床医药文献杂志,2016,3(30):5996.
[18]李娜,于晓娜,张美平.再生障碍性贫血患者感染的预见性护理对策探讨[J].中国保健营养,2015,25(6):146-149.