针对性护理在重症监护室气管切开肺部感染危重患者中的效果及相关危险因素分析

发布时间：2018-01-03 14:09

本文关键词：针对性护理在重症监护室气管切开肺部感染危重患者中的效果及相关危险因素分析　出处：《临床医药文献电子杂志》2016年59期 　论文类型：期刊论文

【摘要】：目的探讨在重症监护室(ICU)接受气管切开患者出现肺部感染的危险因素,并提供针对性护理措施的应用效果。方法选取我院ICU科室2012年1月~2015年12月收治的气管切开合并肺部感染患者80例作为研究对象,按照入院先后顺序将其分为对照组与观察组,各40例。对照组患者接受ICU内全程护理模式及常规肺部感染治疗措施,观察组根据危险因素制定针对性护理服务,观察两组患者治疗有效率及生活质量评价。结果两组患者发生肺部感染率均与临床提供的侵入性操作、患者排痰障碍、意识状态不良、机体营养状态较差及机械通气时间等指标有关。对照组患者治疗有效率为77.5%,观察组为95%,观察组患者治疗有效率较高,差异有统计学意义(P0.05)。对照组患者机体感觉、沟通、家庭融入度及健康状态等指标评分较低,观察组患者上述指标评分均较高,差异有统计学意义(P0.05)。结论对于存在的气管切开后出现肺部感染患者,积极分析相关危险因素并提供针对性护理服务,大部分患者经干预后疾病恢复较好,且患者生活质量评价较高。
[Abstract]:Objective to investigate in the ICU (ICU) received tracheotomy patients with risk factors of pulmonary infection, and provide the application effect of targeted nursing measures. As the research object in 80 patients with pulmonary infection methods in our hospital ICU department in January 2012 ~2015 year in December from tracheotomy, in accordance with the order of admission will be divided into control group and observation group, 40 cases in each. The control group received treatment of ICU in the whole nursing model and conventional pulmonary infection, the observation group according to the risk factors to develop targeted nursing service, evaluation of two groups of patients were observed the effective rate of the treatment and quality of life. The two groups of patients with pulmonary infection rate and clinical invasive operation patients with sputum, consciousness disorder, bad state of the poor nutritional status and duration of mechanical ventilation and other indicators. The effective rate of the control group was 77.5%, 95% in the observation group, view Observation group of patients treatment effective rate is higher, the difference was statistically significant (P0.05). The patients in the control group the body feeling, communication, family integration and health status indicators score lower, patients in the observation group the scores were higher, the difference was statistically significant (P0.05). Conclusion to exist after tracheotomy in patients with lung positive analysis of the risk factors of infection, and to provide targeted nursing service, the majority of patients after the intervention of disease better recovery, and patient assessment of quality of life is high.

【作者单位】：建湖县中医院重症医学科;
【分类号】：R472.3
【正文快照】： 针对气管切开后继发肺部感染的患者,做好预防及早期干预工作十分重要[1]。本文研究对于重症监护室(ICU)接受气管切开患者出现肺部感染的危险因素,并提供针对性护理措施的应用效果,现报告如下。1资料与方法1.1一般资料选取我院ICU科室2012年1月~2015年12月收治的气管切开合并肺

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