摘要
目的探讨循证护理在预防老年髋部骨折患者肺部感染中的应用价值,以达到预防感染的目的。方法选取2009年5月-2013年5月收治的老年髋部骨折患者320例,随机分为观察组和对照组,每组各160例,观察组采用循证护理,对照组采用常规护理,分析老年髋部骨折患者肺部感染高危因素,并对两组患者肺部感染率进行比较。结果观察组经循证护理,发生肺部感染患者15例,感染率为9.38%,对照组发生肺部感染患者47例,感染率为29.38%,差异有统计学意义(P<0.05);两组老年髋部骨折患者肺部感染与年龄、基础疾病、原呼吸系统疾病、手术及麻醉方式、受伤至就诊时间、入院至手术时间等因素有关,差异有统计学意义(P<0.05);年龄、原有呼吸系统疾病、受伤至就诊时间及手术方式为老年髋部骨折患者肺部感染的高危因素。结论老年髋部骨折患者肺部感染高危因素较多,包括患者年龄、原有呼吸系统疾病、受伤至就诊时间及手术方式,对老年髋部骨折患者应采取循证护理措施,从而提高护理效果,减少肺部感染发生。
OBJECTIVE To investigate the value of evidence‐based nursing in the prevention of pulmonary infections in elderly patients with hip fracture ,in order to achieve the purpose of preventing infections .METHODS Totally 320 elderly patients with hip fracture admitted and treated from May 2009 to May 2013 were randomly divided into the observation group and the control group with 160 cases in each group .The observation group received evi‐dence‐based nursing ,while the control group received routine care .The high risk factors for pulmonary infections in elderly patients with hip fracture were analyzed ,and the pulmonary infection rate was compared between the two groups .RESULTS There were 15 cases of pulmonary infections in the observation group after evidence‐based nursing ,with the infection rate of 9 .38% ,while there were 47 cases of pulmonary infections in the control group , with the infection rate of 29 .38% ,the difference was significant （P〈0 .05） .Factors for pulmonary infections in the two groups included age ,underlying diseases ,original respiratory diseases ,surgery and anesthesia ,time from injury to admission ,and time from admission to operation （P〈 0 .05） .The high risk factors for pulmonary infections in these patients included age ,original respiratory diseases ,time from injury to admission and surgical approaches .CONCLUSION The high risk factors for pulmonary infections in elderly patients with hip fracture are various including age ,previous respiratory diseases ,time from injury to admission and surgical approaches to treatment .Evidence‐based care measures should be taken to treat elderly hip fracture patients ,so as to improve care effect and reducing pulmonary infections .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第12期2834-2836,共3页
Chinese Journal of Nosocomiology
基金
浙江省自然科学基金资助项目(Y2110653)
关键词
循证护理
老年髋部骨折患者
肺部感染
Evidence-based care
Elderly patients with hip fracture
Pulmonary infection
