摘要
目的探讨集束化护理干预在手足显微外科术后多重耐药菌(MDRO)感染患者中的应用价值。方法选取2016年6月~2018年6月我院收治的54例手足显微外科术后MDRO感染患者作为研究对象,按照手术编号采用单双号法将其均分为对照组(予以术后常规护理)和试验组(在对照组基础上予以集束化护理干预),比较干预2周时,两组患者MDRO转归情况(治愈、显著效果、有效、无效)及细菌学评价等级(全部清除、部分清除、替换、再感染),记录两组患者住院时间。结果干预2周时,试验组患者的MDRO转归情况优于对照组(P<0.05),且住院时间短于对照组(P<0.05)。结论集束化护理用于手足显微外科术后MDRO感染患者利于患者MDRO转归,可提高其细菌学评价等级,缩短患者住院时间。
Objective To explore the application value of cluster nursing intervention in patients with multi-drug resistant organism(MDRO) infection after hand-foot microsurgery. Methods Fifty-four patients with MDRO infection after hand-foot microsurgery who were treated in our hospital from June 2016 to June 2018 were selected as research objects. According to the odd and even operation numbers, they were divided into the control group(postoperative routine nursing) and the experimental group(cluster nursing intervention based on the control group). The MDRO outcomes(cure, significant effects, effective, ineffective) and bacteriological evaluation grades(all cleared, partially cleared, replaced, re-infected) at 2 weeks of intervention of patients in two groups were observed and compared. The hospital stay of patients in two groups was recorded. Results At 2 weeks of intervention, the MDRO outcomes in experimental group were better than those in control group(P<0.05). And the hospital stay was shorter than that in control group(P<0.05). Conclusion Application of cluster nursing intervention in patients with MDRO infection after hand-foot microsurgery is conducive to the MDRO outcomes of patients. It can improve the bacteriological evaluation grades and shorten hospital stay of patients.
作者
万花平
江雪燕
刘汶芳
张俊玲
李美萍
WAN Huaping;JIANG Xueyan;LIU Wenfang;ZHANG Junling;LI Meiping(Longgang District Orthopedic Hospital,Shenzhen 518116,China)
出处
《中国医药科学》
2019年第21期155-158,共4页
China Medicine And Pharmacy
基金
广东省深圳市龙岗区医疗卫生科技计划项目(LGKCYLWS2018000124)
关键词
集束化护理
多重耐药菌
手足显微外科
术后护理
Cluster nursing
Multi-drug resistant organism
Hand-foot microsurgery
Postoperative nursing