目标设定结合互动宣教对骨科住院患者肺部感染的预防效果研究

发布时间：2018-01-16 20:28

本文关键词：目标设定结合互动宣教对骨科住院患者肺部感染的预防效果研究　出处：《中华医院感染学杂志》2017年21期 　论文类型：期刊论文

【摘要】：目的研究目标设定结合互动宣教对住院骨科患者肺部感染的预防控制效果,降低骨科住院患者的肺部感染率。方法选择2015年1月-12月医院接受住院治疗的骨科患者2158例作为对照组,选择2016年1月-12月医院接受住院治疗的骨科患者2115例作为试验组;对照组患者进行常规宣教,试验组患者在对照组的基础上采用目标设定结合互动宣教,比较两组患者的肺部感染率、呼吸功能锻炼依从性、呼吸功能和干预满意度,分析其病原菌构成。结果对照组患者2158例,发生肺部感染31例,感染率为1.44%,试验组患者2115例,发生肺部感染6例,感染率为0.28%,差异有统计学意义(P0.05);37例肺部感染患者共分离出病原菌49株,其中真菌10株,占20.41%,革兰阳性菌13株,占26.53%,革兰阴性菌27株,占55.10%;试验组患者按时做缩唇呼吸锻炼例数占90.97%,明显多于对照组,深呼吸锻炼按时做例数占90.59%,明显多于对照组,差异有统计学意义(P0.05)。试验组患者的呼吸功能指标评分,肺部Up音、咳嗽程度和痰液黏稠度评分分别为(0.53±0.44)分、(0.41±0.36)分、(0.72±0.49)分,明显低于对照组,差异有统计学意义(P0.05)。试验组患者总满意率为95.84%,对照组患者总满意率为85.03%(P0.05)。结论住院骨科患者发生肺部感染的病原菌主要为革兰阴性菌,目标设定结合互动宣教可以降低住院骨科患者的肺部感染率,提高患者的呼吸功能锻炼依从性和呼吸功能,患者对干预满意度较高。
[Abstract]:Objective to study the effect of prevention and control of pulmonary infection in orthopaedic inpatients with the combination of goal setting and interactive education. Methods from January 2015 to December, 2158 orthopedic patients were selected as control group. From January 2016 to December, 2 115 orthopaedic patients admitted to hospital from January 2016 to December were selected as trial group. The patients in the control group were given routine education, the patients in the test group were compared the lung infection rate and the compliance of respiratory function exercise with the combination of goal setting and interactive education on the basis of the control group. Results there were 2158 cases in control group, 31 cases in pulmonary infection, the infection rate was 1.44%, 2115 cases in test group. Pulmonary infection occurred in 6 cases, the infection rate was 0.28%, the difference was statistically significant (P 0.05). A total of 49 strains of pathogenic bacteria were isolated from 37 patients with pulmonary infection, including 10 strains of fungi (20.41%), 13 strains of Gram-positive bacteria (26.53%) and 27 strains of Gram-negative bacteria (55.10%). The number of patients in the test group who did lip contraction breathing exercise on time accounted for 90.97, which was obviously more than that in the control group, while the number of deep breathing exercise on time accounted for 90.59, which was obviously more than that in the control group. The difference was statistically significant (P 0.05). The scores of respiratory function, lung up, cough and sputum viscosity in the experimental group were 0.53 卤0.44 respectively. The score of 0.41 卤0.36) was 0.72 卤0.49, which was significantly lower than that of the control group (P 0.05). The total satisfaction rate of the patients in the trial group was 95.84%. The total satisfaction rate of the patients in the control group was 85.03. Conclusion the main pathogens of pulmonary infection in orthopedic patients were Gram-negative bacteria. Goal setting combined with interactive education can reduce the pulmonary infection rate of orthopaedic inpatients and improve the compliance and respiratory function of patients with respiratory function exercise. The patients' satisfaction with intervention is higher.
【作者单位】：重庆市綦江区人民医院骨科;重庆市綦江区人民医院感染科;重庆市綦江区人民医院消化内分泌科;
【分类号】：R473.6
【正文快照】： 骨科住院患者大多需长期卧床休息,尤其是老年患者,自身免疫力较差,容易发生肺部感染。我国医院肺部感染的发生率较高,在医院感染中居首位[1-3]。造成骨科住院患者发生肺部感染的原因较多,如不合理使用抗菌药物、侵入性操作、医疗用品污染、呼吸道的分泌物发生坠积等[4]。脊柱

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