摘要
目的探究护理干预对ICU脑出血患者预防肺部感染的有效性和安全性。方法随机选取本院接收治疗的ICU124例脑出血患者,分为观察组和对照组,观察组选择系统的护理干预,对照组选择常规的护理方法,比较与分析患者的不良反应的例数、住院时间、肺部感染例数、病死率以及肺部感染的细菌类型。结果观察组肺部感染率和病死率明显低于对照组(P<0.05);观察组的平均住院时间明显短于对照组(P<0.05);2组的不良反应的总的发生率比较差异有统计学的意义(P<0.05);观察组的格兰阴性菌、格兰阳性菌、真菌、厌氧菌的感染率依次是17.41%、8.06%、4.84%、6.45%,对照组依次是33.87%、20.97%、16.13%、17.41%,2组各种细菌的比较差异具有统计学意义(P<0.05)。结论护理干预能够有效的减少患者的细菌感染,避免不良反应的发生,缩短患者的住院时间,降低患者的肺部感染率。
Objective To explore efficacy and safety of nursing intervention for prevention of lung infection of ICU patients with cerebral hemorrhage. Methods A total of 124 cerebral hemor- rhage patients in ICU were randomly divided into observation group and control group, the observation group was given nursing intervention and control group was given routine nursing method, and cases of adverse reactions, length of hospital stay, cases of lung infection, fatality rate and the types of bacte- ria of lung infections after nursing were compared and analyzed. Results Lung infection rate and fa- tality rate in the observation group were significantly lower than the control group （ P 〈 0.05 ） ; Aver- age hospital stay in observation group was significantly less than the control group （ P 〈 0.05 ）. There were significant differences in total incidence of adverse reactions in the two groups （P 〈 0.05 ）. Gran negative bacteria, gran positive bacteria, fungi, anaerobic bacteria infection rates in the obser- vation group were 17.41% , 8.06% , 4.84% and 8.06% and were 33.87% , 20.97% , 16.13% and 20.97% in the control group, and there were significant differences in two groups（P 〈 0.05）. Conclusion Nursing intervention can effectively reduce the number of patients with bacterial infec- tions, and avoid the occurrence of adverse reactions, shorten the hospitalization time, and reduce the patient~ lung infection.
出处
《实用临床医药杂志》
CAS
2016年第18期11-13,共3页
Journal of Clinical Medicine in Practice
关键词
护理干预
脑出血
肺部感染
nursing intervention
cerebral hemorrhage
lung infection
