摘要
目的探讨集束化护理在神经外科下呼吸道多重耐药菌定植气管切开患者中的应用效果。方法便利选取2012年8月至2014年12月在解放军463医院神经外科住院治疗并行气管切开超过2个月的98例患者,均合并多重耐药菌定植。根据住院时间将患者分为对照组(50例)和研究组(48例),分别实行常规护理和集束化护理,比较两组患者20d内的肺部感染发生率、平均住院费用及入住ICU的天数。结果研究组患者肺部感染发生率明显低于对照组,平均住院费用和入住ICU天数明显少于对照组,差异均有统计学意义(P<0.05)。结论集束化护理应用于气管切开合并下呼吸道多重耐药菌定植的神经外科患者,可明显降低患者的肺部感染发生率,缩短住院时间,减轻经济负担。
Objective To investigate application effect of cluster of care in multidrug-resistant organisms in lower respiratory tract for patients underwent tracheotomy in neurosurgery.Methods By convenience sampling,98 cases underwent tracheotomy were selected and both combined with multidrug-resistant organisms.Patients were divided into control group（n=50）and study group（n=48）,and applied with cluster of care and conventional nursing respectively.The incidence rate of pulmonary infection,average hospitalization cost and ICU stays during 20 days of hospitalization were compared.Results The incidence rate of pulmonary infection in study group was significantly lower than which in control group,and the average hospitalization cost and ICU stays were less than that of control group as well（P〈0.05）.Conclusion The cluster of nursing in the tracheotomy combined multidrug-resistant organisms in lower respiratory tract has significant effect in reducing the lung infection rate,and shortening the hospitalization stays and reducing the economic burden.
出处
《解放军护理杂志》
CSCD
2015年第22期39-41,共3页
Nursing Journal of Chinese People's Liberation Army
