住院内科患者吸入性肺部感染的管理流程建构研究

发布时间：2018-02-25 04:07

本文关键词： 住院内科吸入性肺部感染管理流程满意率　出处：《中华医院感染学杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的探讨住院内科患者吸入性肺部感染的管理流程建构,降低患者吸入性肺部感染率。方法选取2012年1月-2015年12月医院内科住院患者158例,依据入院时间分为观察组(2014年1月-2015年12月,改良干预管理流程)和对照组(2012年1月-2013年12月,传统管理流程),比较两组患者的吸入性肺部感染率、发生原因、住院指标、不良并发症及干预满意率。结果吸入性肺部感染率观察组患者为11.76%,对照组患者为37.78%,差异有统计学意义(P0.05);观察组患者呼吸机使用时间、肺Up音消失时间、ICU住院时间及总住院时间均明显低于对照组,差异有统计学意义(P0.05);观察组患者吸入性肺部感染原因:胃肠功能障碍5.88%,吸痰方式不当2.94%,剧烈咳嗽2.94%;对照组患者吸入性肺部感染原因:胃肠功能障碍10.00%,鼻饲方式不当3.33%,吸痰方式不当13.33%,体位管理不当2.22%,剧烈咳嗽8.89%;观察组68例患者,不良并发症及干预满意率分别为19.12%、95.59%,对照组90例患者,不良并发症及干预满意率分别为38.89%、70.00%。结论改良后的干预管理流程能够降低住院内科患者吸入性肺部感染的风险,提高患者干预满意度。
[Abstract]:Objective to explore the management process of inhaled pulmonary infection in inpatients and to reduce the pulmonary infection rate. Methods 158 inpatients were selected from January 2012 to December 2015. According to the time of admission, the patients were divided into two groups: the observation group (from January 2014 to December 2015, the improved intervention management process) and the control group (from January 2012 to January 2012). Results the incidence of pulmonary infection was 11.76 in the observation group and 37.78 in the control group, and the difference was statistically significant (P 0.05). The time of disappearance of pulmonary uptone and the duration of hospitalization and total hospitalization in ICU were significantly lower than those in the control group. The causes of inhaled pulmonary infection in observation group were as follows: gastrointestinal dysfunction 5.88, improper sputum suction 2.94, severe cough 2.94; in control group, gastrointestinal dysfunction 10.00; nasal feeding was not. When 3.33am, the way of sputum suction is not proper 13.33g, the body position is not well managed, and the cough is 8.89.The observation group has 68 patients, The satisfactory rates of adverse complications and intervention were 19.125.599.90 patients in the control group and 38.89um in the control group. Conclusion the improved intervention management process can reduce the risk of inhaled pulmonary infection in the inpatients. Improve patients' satisfaction with intervention.
【作者单位】：临沂市兰山区人民医院内科;临沂市人民医院呼吸内科;临沂市人民医院重症医学科;
【基金】：山东省医药卫生科技发展计划基金资助项目(2013WS0312)
【分类号】：R563.1

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