护理干预对肝移植术后患者肺部真菌感染的观察
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摘要
目的探究肝移植术后患者肺部真菌感染患者护理干预效果。方法选取2016年1月—2018年8月70例行肝移植术治疗的患者作为研究对象。采用抽签法,将其分为常规组(35例)和干预组(35例)。常规组实施常规护理,干预组实施护理干预。对比两组患者感染发生情况、多项指标、生活质量,进行统计学分析。结果干预组患者的肺部感染率为8.57%,低于常规组的28.57%,差异具有统计学意义(P<0.05)。干预组患者的术后白蛋白水平为(24.87±7.56)g/L,低于常规组的(32.54±7.49)g/L,组间对比,差异具有统计学意义(P <0.05)。干预组患者的护理满意度为94.14%,高于常规组的82.86%,组间数据比较,差异具有统计学意义(P <0.05)。结论对行肝移植术治疗的患者实施护理干预,有效降低肺部真菌感染发生率,促进机体恢复,改善生活质量,提高护理满意度,护理效果显著。
Objective To explore the effect of nursing intervention on patients with pulmonary fungal infection after liver transplantation.Methods 70 cases of patients undergoing liver transplantation from January 2016 to August 2018 were selected as the study subjects. By drawing lots,they were divided into routine group(35 cases) and intervention group(35 cases). Routine nursing was performed in routine group. The intervention group was given nursing intervention. The incidence of infection, multiple indicators and quality of life of the two groups were compared and analyzed statistically. Results The pulmonary infection rate of intervention group was 8.57%, lower than that of routine group(28.57%), the difference was statistically significant(P < 0.05). Postoperative albumin level in intervention group was(24.87±7.56) g/L, which was lower than that in routine group(32.54±7.49) g/L. There was significant difference between the two groups(P < 0.05). The nursing satisfaction of the intervention group was 94.14%, higher than 82.86% of the routine group. The difference between the two groups was statistically significant(P < 0.05). Conclusion Nursing intervention for patients undergoing liver transplantation can effectively reduce the incidence of pulmonary fungal infection, promote the recovery of the body, improve the quality of life, improve the satisfaction of nursing, and the nursing effect is remarkable.
Objective To explore the effect of nursing intervention on patients with pulmonary fungal infection after liver transplantation.Methods 70 cases of patients undergoing liver transplantation from January 2016 to August 2018 were selected as the study subjects. By drawing lots,they were divided into routine group(35 cases) and intervention group(35 cases). Routine nursing was performed in routine group. The intervention group was given nursing intervention. The incidence of infection, multiple indicators and quality of life of the two groups were compared and analyzed statistically. Results The pulmonary infection rate of intervention group was 8.57%, lower than that of routine group(28.57%), the difference was statistically significant(P < 0.05). Postoperative albumin level in intervention group was(24.87±7.56) g/L, which was lower than that in routine group(32.54±7.49) g/L. There was significant difference between the two groups(P < 0.05). The nursing satisfaction of the intervention group was 94.14%, higher than 82.86% of the routine group. The difference between the two groups was statistically significant(P < 0.05). Conclusion Nursing intervention for patients undergoing liver transplantation can effectively reduce the incidence of pulmonary fungal infection, promote the recovery of the body, improve the quality of life, improve the satisfaction of nursing, and the nursing effect is remarkable.
引文
[1]郑绮眉,贺良炜,廖利平.两性霉素B雾化吸入及护理在预防恶性血液病化疗患者肺部感染中的效果观察[J].中国临床护理,2016,8(2):106-108.
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[9]易永祥,胡亮,韩建波,等.肝脏移植术后感染情况及预防措施[J].中国老年学杂志,2013,33(13):3084-3085.
[10]陈晓红,陈秋弟,陈秀君.重症监护病房COPD患者肺部真菌感染的相关因素与护理效果[J].中国现代药物应用,2016,10(20):229-230.
[11]胡慧莲.护理干预对预防慢性阻塞性肺疾病继发性肺部真菌感染的作用[J].中国保健营养,2016,26(24):152.
[11]崔丽娜,徐微,王晓翠.肺部真菌感染64例临床分析及护理对策[J].中国医学创新,2016,13(25):80-82.
[12]赵国志,刘阳,赖永通,等.肾移植术后肺部真菌感染的诊治[J].器官移植,2013,4(6):354-357.
[2]陈英.血糖管理对糖尿病并慢性阻塞性肺疾病患者肺部真菌感染的干预效果观察[J].糖尿病新世界,2017,20(3):142-144.
[3]彭怀力,彭慧茹,刘永锋,等.ICU老年患者肺部真菌感染的危险因素以及抢先治疗的临床效果[J].江西医药,2017,52(4):332-334.
[4]王齐.探究ICU老年患者肺部真菌感染的危险因素及抢先治疗临床效果[J].中国社区医师,2016,32(36):25-26.
[5]于立新,曾明星.肾移植术后肺部真菌感染的临床分析[J].南方医科大学学报,2016,36(6):880-883.
[6]张娜.慢性重型肝炎并发侵袭性肺部真菌感染的CT影像学特征探析[J].系统医学,2017,2(13):108-110.
[7]张晓丽,许惠丽.两性霉素B治疗恶性血液病合并肺部真菌感染患者62例临床观察[J].中国现代药物应用,2016,10(13):167-168.
[8]赵磊.伏立康唑用于肺部真菌感染患者治疗中的临床不良反应分析[J].中国处方药,2017,15(2):62-63.
[9]易永祥,胡亮,韩建波,等.肝脏移植术后感染情况及预防措施[J].中国老年学杂志,2013,33(13):3084-3085.
[10]陈晓红,陈秋弟,陈秀君.重症监护病房COPD患者肺部真菌感染的相关因素与护理效果[J].中国现代药物应用,2016,10(20):229-230.
[11]胡慧莲.护理干预对预防慢性阻塞性肺疾病继发性肺部真菌感染的作用[J].中国保健营养,2016,26(24):152.
[11]崔丽娜,徐微,王晓翠.肺部真菌感染64例临床分析及护理对策[J].中国医学创新,2016,13(25):80-82.
[12]赵国志,刘阳,赖永通,等.肾移植术后肺部真菌感染的诊治[J].器官移植,2013,4(6):354-357.