视频宣教对神经内科住院患者肺部感染的预防效果研究

发布时间：2018-07-11 09:52

本文选题：视频教育 + 神经内科　；参考：《中华医院感染学杂志》2017年17期

【摘要】：目的探究视频教育对神经内科住院患者肺部感染的预防效果。方法选取2013年1月-2015年12月于医院接受治疗的204例神经内科住院患者为研究对象,按照随机数表法平均分成对照组和观察组,每组各102例;观察组与对照组分别采用视频宣教法和传统的口头宣讲法对患者讲述神经内科肺部感染相关知识及健康指导;收集患者的痰液标本进行病原菌分离及鉴定;对两组患者肺部感染知识掌握程度、病情改善情况、对护士的满意程度及感染率进行比较。结果观察组与对照组的治疗有效率分别为95.10%和89.22%,观察组患者的病情改善情况明显优于对照组患者;出院时观察组与对照组患者关于肺部感染相关知识掌握程度的测试分数分别为(79.54±1.88)分、(65.23±1.45)分,住院天数分别为(15.45±1.23)d、(20.33±1.65)d;观察组患者发生肺部感染2例,感染率为1.96%,对照组患者发生肺部感染9例,感染率为8.82%,两组比较差异有统计学意义(P0.05);观察组患者对护士满意程度评分为(28.01±0.55)分,对照组为(27.98±0.88)分,两组比较差异无统计学意义;痰培养共分离出病原菌303株,其中革兰阴性菌198株占65.35%,革兰阳性菌90株占29.70%,真菌15株占4.95%。结论视频教育对于神经内科住院患者肺部感染的预防效果要优于传统的口头宣讲方式,视频教育有利于神经内科住院患者肺部感染的预防。
[Abstract]:Objective to explore the effect of video education on the prevention of pulmonary infection in inpatients with neurology. Methods 204 inpatients who were treated in hospital from January 2013 to December 2015 were randomly divided into control group and observation group with 102 cases in each group. The observation group and the control group used video education method and traditional oral propaganda method to tell the patients about the knowledge and health guidance of lung infection in neurology department, collected the sputum samples of patients for pathogen isolation and identification. The degree of knowledge of pulmonary infection, the condition of improvement, the degree of satisfaction and the infection rate of nurses were compared between the two groups. Results the effective rates of treatment were 95.10% and 89.22% in the observation group and the control group, respectively. The improvement of the condition of the patients in the observation group was obviously better than that in the control group. At the time of discharge, the test scores of knowledge about pulmonary infection in observation group and control group were (79.54 卤1.88), (65.23 卤1.45) and (15.45 卤1.23) d, (20.33 卤1.65) days, respectively. The infection rate was 1.96, the pulmonary infection rate was 8.82 in the control group (P 0.05), the satisfaction score of the observation group was (28.01 卤0.55), the control group was (27.98 卤0.88), there was no significant difference between the two groups. 303 strains of pathogenic bacteria were isolated from sputum culture, of which 198 strains were Gram-negative bacteria (65.35), 90 Gram-positive bacteria (29.70%) and 15 fungi (4.95%). Conclusion the effect of video education on the prevention of pulmonary infection in inpatients with neurology is better than that in the traditional oral presentation. Video education is beneficial to the prevention of pulmonary infection in inpatients with neurology.
【作者单位】：青海大学附属医院神经内科;
【分类号】：R473.74

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