摘要
目的探讨指标管控在气管切开患者预防肺部感染中的应用效果。方法将实施指标管控前符合入组的109例气管切开患者作为对照组,实施指标管控后符合入组的116例气管切开作为观察组,将护理措施落实率(床头抬高执行率、吸痰规范率、气囊压力监测执行率、口腔护理清洁合格率)作为气管切开患者护理质量的过程指标,肺部感染发生率作为气管切开患者护理质量的结果指标,比较两组过程指标和结果指标的差异。结果对照组肺部感染发生率高于观察组(P<0.05);对照组床头抬高执行率、吸痰规范率、气囊压力监测执行率、口腔护理清洁合格率明显低于观察组(P均<0.05);对照组带管时间和抗菌药物使用费用高于观察组(P均<0.05)。结论建立气管切开护理质量指标,并实施过程管控,有利于降低气管切开患者肺部感染发生率。
Objective To explore the influence of index management in preventing pulmonary infection in tracheotomy patients.Methods 109 tracheotomy patients before the implementation of the process control were used as the control group,and 116 tracheotomy patients after the implementation of the process control were used as the observation group.The implementation rates of nursing measures(execution rate of bed head elevation,sputum suction standardization rate,execution rate of air cuff pressure monitoring,qualified rate of oral care)were used as the process indicators,and the incidence of pulmonary infection was used as the outcome indicators.Comparing the difference between the two groups of process indicators and outcome indicators.Results The incidence of pulmonary infection in the control group was higher than that in the observation group(P<0.05).The control group's execution rate of bed head elevation,standard rate of sputum suction,execution rate of air cuff pressure monitoring,qualified rate of oral care were significantly lower than those in the observation group(P<0.05).The tube wearing time and antibacterial drug use cost in the control group were higher than those in the observation group(P<0.05).Conclusion The establishment of tracheotomy nursing quality indicators and the implementation of process control will help reduce the incidence of pulmonary infection in tracheotomy patients.
作者
庞亚勋
黄秋芬
秦雨萌
黄胜明
PANG Ya-xun;HUANG Qiu-fen;QIN Yu-meng(Neurosurgery Department,Xianning Central Hospital/the First Affiliated Hospital of Hubei University of Science and Technology,Xianning Hubei 437100,China)
出处
《湖北科技学院学报（医学版）》
2023年第5期433-436,共4页
Journal of Hubei University of Science and Technology(Medical Sciences)
关键词
气管切开
肺部感染
指标
护理管理
Tracheotomy
Lung infection
Quality indicator
Nursing management
