摘要
目的探讨病例管理模式在住院肺动脉高压肺部感染患者干预中的应用效果,以减低感染率。方法调查2011年1月-2014年12月肺动脉高压肺部感染住院患者共394例,选取2011年1月-2013年5月的住院患者197例作为对照组,选取2013年6月-2014年12月住院患者197例患者作为观察组,对照组患者实施传统干预模式,观察组采取病例管理模式,两组患者干预20d后比较不良事件发生率、肺部感染率、平均住院时间及密尔顿抑郁量表(Hamilton RatingScale forDepres-sion.HAMD)评分。结果观察组患者不良事件的发生率为23.8%,低于对照组54.3%,差异有统计学意义(P<0.05);观察组患者的感染率为7.1%,较对照组患者的13.7%有明显下降,差异有统计学意义(P<0.05);观察组患者住院时间为(26.07±0.90)d,对照组患者为(32.74±0.80)d,两组比较差异有统计学意义(P<0.05);HAMD评分干预后较干预前低,差异有统计学意义(P<0.05)。结论实施病例管理模式能有力促进肺动脉高压伴肺部感染患者的治疗,有效预防、控制肺部感染。
OBJECTIVE To investigate the preventive effect of case management model in the application of pulmo‐nary hypertension patients with pulmonary infections so as to reduce infection rates .METHODS Totally 394 pa‐tients with pulmonary infections and pulmonary arterial hypertension were chosen from Jan .2011 to Dec .2014 in our hospital .And 197 cases admitted from Jan .2011 to May 2013 were chosen as control group ,another 197 ca‐ses admitted from Jun .2014 to Dec .2014 were chosen as observation group .The control group was treated with traditional interventions ,while the observation group adopted case management mode .After 20 days ,the adverse reaction incidence rate ,pulmonary infection rate ,average hospital stay time and HAMD scores were compared be‐tween the two groups .RESULTS The incidence rate of adverse events was 23 .8% in the observation group ,which was lower than the control group and the difference was significant （P〈0 .05） .Infection rate was 7 .1% in the observation group ,significeatly lower than that of the control group with the rate of 13 .7% （P〈 0 .05） .The HAMD score was lower after the intervention than before the intervention ,the difference was statistically signifi‐cant （P〈0 .05） .CONCLUSION The implementation of case management model can effectively improve the treat‐ment of patients with pulmonary hypertension associated with lung infection ,hence can prevent and control lung infections .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第13期3010-3012,共3页
Chinese Journal of Nosocomiology
基金
国家自然科学基金资助项目(1400110262)
关键词
病例管理
肺动脉高压
肺部感染
应用效果
Case management
Pulmonary arterial hypertension
Lung infection
Application effect
