护理干预对脑卒中患者恢复期院内感染的临床效果
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摘要
目的探讨护理干预对脑卒中患者恢复期院内感染的临床价值。方法回顾性分析2015年7月~2016年7月我院脑卒中患者120例临床资料,依据护理方式不同,将患者分为观察组与对照组,每组各60例。对照组采用常规护理,观察组在常规护理的基础上进行系统化护理干预。比较两组患者院内感染率。采用美国国立卫生研究院卒中量表(NHISS)评分,评估患者神经功能情况。根据自制调查问卷评价患者护理满意度。结果护理干预后,观察组院内感染率6.67%,明显低于对照组(13.33%),差异明显,具有统计学意义(χ~2=6.185,P<0.05)。护理干预前,两组患者均出现神经功能障碍,且两组患者NIHSS评分无明显差异(P>0.05)。护理干预后,两组患者的NIHSS评分有好转(P<0.05),且观察组评分改善明显好于对照组,差异有统计学意义(P<0.05)。观察组护理满意度为96.67%,明显高于对照组,差异有统计学意义(χ~2=8.756,P<0.05)。结论系统化护理干预,可强化无菌操作和消毒隔离技术规范,能有效降低脑卒中患者院内感染率、提高治疗效果,提高护理满意度,在治疗脑卒中患者有着重要意义。
Objective To investigate the clinical value of nursing intervention on nosocomial infection in patients with stroke. Methods The clinical data of 120 patients with stroke were retrospectively analyzed from July 2015 to July 2016. According to different nursing methods, patients were divided into observation group and control group, 60 cases in each group. The control group was given routine care. On the basis of routine nursing care, the observation group was given systematic nursing intervention. The nosocomial infection rate was compared between the two groups. The National Institutes of Health Stroke Scale(NHISS) score was used to evaluate the neurological function. According to the self-made questionnaire, the satisfaction degree was evaluated. Results After nursing intervention, the nosocomial infection rate of the observation group was 6.67%, which was significantly lower than that of the control group(13.33%). The difference was statistically significant(χ~2=6.185,P < 0.05). Before nursing intervention, all patients had neurological dysfunction. There was no significant difference in NIHSS score between the two groups(P > 0.05). After nursing intervention, the NIHSS scores of the two groups were improved(P < 0.05), and the score of the observation group was significantly better than that of the control group. The difference was statistically significant(P<0.05). The nursing satisfaction of the observation group was 96.67%, which was significantly higher than that of the control group, the difference was statistically significant(χ~2=8.756,P < 0.05). Conclusion Comprehensive nursing intervention can strengthen the aseptic operation and disinfection technical specifications, effectively reduce the nosocomial infection rate of stroke patients, improve the therapeutic effect, and improve nursing satisfaction. It plays an important role in the treatment of patients with cerebral stroke.
Objective To investigate the clinical value of nursing intervention on nosocomial infection in patients with stroke. Methods The clinical data of 120 patients with stroke were retrospectively analyzed from July 2015 to July 2016. According to different nursing methods, patients were divided into observation group and control group, 60 cases in each group. The control group was given routine care. On the basis of routine nursing care, the observation group was given systematic nursing intervention. The nosocomial infection rate was compared between the two groups. The National Institutes of Health Stroke Scale(NHISS) score was used to evaluate the neurological function. According to the self-made questionnaire, the satisfaction degree was evaluated. Results After nursing intervention, the nosocomial infection rate of the observation group was 6.67%, which was significantly lower than that of the control group(13.33%). The difference was statistically significant(χ~2=6.185,P < 0.05). Before nursing intervention, all patients had neurological dysfunction. There was no significant difference in NIHSS score between the two groups(P > 0.05). After nursing intervention, the NIHSS scores of the two groups were improved(P < 0.05), and the score of the observation group was significantly better than that of the control group. The difference was statistically significant(P<0.05). The nursing satisfaction of the observation group was 96.67%, which was significantly higher than that of the control group, the difference was statistically significant(χ~2=8.756,P < 0.05). Conclusion Comprehensive nursing intervention can strengthen the aseptic operation and disinfection technical specifications, effectively reduce the nosocomial infection rate of stroke patients, improve the therapeutic effect, and improve nursing satisfaction. It plays an important role in the treatment of patients with cerebral stroke.
引文
[1]张薇,范宇威,高静,等.脑卒中流行病学调查相关文献复习[J].中国临床神经科学,2014,22(6):699-703.
[2]潘红,孙芳玲,王文,等.缺血性脑卒中的治疗药物及其有效治疗时间窗的研究进展[J].中国康复理论与实践,2013(3):201-203.
[3]Dimmeler S,Aicher A,Vasa M,et al.HMG-Co A reductase inhibitors(statins)increase endothelial progenitor cells via the PI 3-kinase/Akt pathway[J].J Clin Invest,2001,108(3):391-397.
[4]李培珍.脑血管意外病人院内感染现状及防护措施[J].内科,2008,3(5):756-758.
[5]吕金珠,神经内科危重患者院内感染及护理[J].中国卫生标准管理,2015,6(29):211-212.
[6]韩军.内科住院患者发生院内感染的护理因素分析[J].河北医药,2015,37(3):465-466.
[7]唐玉艳,李霜,刘小兰,等.护理管理对神经内科患者医院内感染的影响[J].中国医学工程,2013,21(10):182-183.
[8]冯雯,张立堂,刘思海,等.综合预防性护理干预对预防神经内科医院感染的影响研究[J].中华医院感染学杂志,2014,24(16):4026-4032.
[9]张亮.D-二聚体、凝血指标检测在脑卒中的诊断价值[J].国际检验医学杂志,2016,37(17):2387-2389.
[10]曹静,李威.综合护理干预对ICU脑卒中后癫痫发作患者的影响[J].齐鲁护理杂志,2016,22(21):75-76.
[11]李涵,王群英,祝洪珍,等.2511例住院患者医院感染现患率调查与分析[J].中国感染控制杂志,2014,13(8):495-496.
[12]刘宏文,严济春,古贱秀,等.NIHSS在脑梗死静脉溶栓中的应用[J].中国当代医药,2014,21(25):23-24.
[13]韩军.综合护理干预减少内科院内感染的作用评估[J].河北医药,2015,37(1):148-149.
[14]钟艳芳,张海燕,邵芳,等.神经内科重症感染患者临床分析及护理对策[J].河北医药,2015,37(3):479-480.
[15]张静.护理干预对神经内科患者院内感染发生率的影响[J].中国实用神经疾病杂志,2014,17(22):133.
[16]高媛,高飒,杨楠,等.老年脑卒中患者发生院内感染的相关因素及应对措施[J].中国老年学杂志,2012,32(8):1709-1710.
[17]党军丽.护理干预对神经内科医院感染患者影响的研究[J].中华医院感染学杂志,2013,23(12):2854-2856.
[2]潘红,孙芳玲,王文,等.缺血性脑卒中的治疗药物及其有效治疗时间窗的研究进展[J].中国康复理论与实践,2013(3):201-203.
[3]Dimmeler S,Aicher A,Vasa M,et al.HMG-Co A reductase inhibitors(statins)increase endothelial progenitor cells via the PI 3-kinase/Akt pathway[J].J Clin Invest,2001,108(3):391-397.
[4]李培珍.脑血管意外病人院内感染现状及防护措施[J].内科,2008,3(5):756-758.
[5]吕金珠,神经内科危重患者院内感染及护理[J].中国卫生标准管理,2015,6(29):211-212.
[6]韩军.内科住院患者发生院内感染的护理因素分析[J].河北医药,2015,37(3):465-466.
[7]唐玉艳,李霜,刘小兰,等.护理管理对神经内科患者医院内感染的影响[J].中国医学工程,2013,21(10):182-183.
[8]冯雯,张立堂,刘思海,等.综合预防性护理干预对预防神经内科医院感染的影响研究[J].中华医院感染学杂志,2014,24(16):4026-4032.
[9]张亮.D-二聚体、凝血指标检测在脑卒中的诊断价值[J].国际检验医学杂志,2016,37(17):2387-2389.
[10]曹静,李威.综合护理干预对ICU脑卒中后癫痫发作患者的影响[J].齐鲁护理杂志,2016,22(21):75-76.
[11]李涵,王群英,祝洪珍,等.2511例住院患者医院感染现患率调查与分析[J].中国感染控制杂志,2014,13(8):495-496.
[12]刘宏文,严济春,古贱秀,等.NIHSS在脑梗死静脉溶栓中的应用[J].中国当代医药,2014,21(25):23-24.
[13]韩军.综合护理干预减少内科院内感染的作用评估[J].河北医药,2015,37(1):148-149.
[14]钟艳芳,张海燕,邵芳,等.神经内科重症感染患者临床分析及护理对策[J].河北医药,2015,37(3):479-480.
[15]张静.护理干预对神经内科患者院内感染发生率的影响[J].中国实用神经疾病杂志,2014,17(22):133.
[16]高媛,高飒,杨楠,等.老年脑卒中患者发生院内感染的相关因素及应对措施[J].中国老年学杂志,2012,32(8):1709-1710.
[17]党军丽.护理干预对神经内科医院感染患者影响的研究[J].中华医院感染学杂志,2013,23(12):2854-2856.