有效干预措施对预防慢性阻塞性肺疾病患者医院感染的临床效果研究

发布时间：2018-03-28 20:08

本文选题：护理干预　切入点：感染　出处：《中华医院感染学杂志》2014年14期

【摘要】：目的分析护理干预对慢性阻塞性肺疾病(COPD)患者感染预防效果。方法回顾性分析2010年4月-2011年9月收治的88例COPD患者临床资料,将接受常规护理44例患者作为对照组,在常规护理基础上接受护理干预44例患者作为试验组,所得数据通过SPSS16.0软件进行统计分析,对比分析两组患者感染的发生、肺功能改善程度及复发等。结果试验组2例发生感染,感染率为4.55%;对照组13例发生感染,感染率为29.55%,试验组明显低于对照组,两组差异有统计学意义(χ2=9.7241,P0.05);半年内COPD复发对照组10例复发率22.73%,试验组复发1例复发率2.27%,试验组明显低于对照组(χ2=8.4156,P0.05);试验组患者的肺功能改善程度优于对照组,治疗护理后试验组患者肺功能优良率为91.91%显著高于对照组的61.36%(χ2=10.5700,P0.05)。结论对COPD患者实施护理干预,可显著降低感染的发生率、显著改善肺功能,降低复发率,该项措施是一种安全高效的方法,应在临床推广。
[Abstract]:Objective to analyze the effect of nursing intervention on the prevention of infection in patients with chronic obstructive pulmonary disease (COPD). Methods the clinical data of 88 patients with COPD from April 2010 to September 2011 were analyzed retrospectively, 44 patients received routine nursing as control group. On the basis of routine nursing, 44 patients received nursing intervention as experimental group. The data were statistically analyzed by SPSS16.0 software, and the incidence of infection was compared between the two groups. Results the infection rate was 4.55 in 2 cases in the experimental group, and 29.55 in 13 cases in the control group, which was significantly lower than that in the control group. There was significant difference between the two groups (蠂 2 / 9.7241 / P 0.05), the recurrence rate of 10 cases in the COPD recurrence control group was 22.73%, and the recurrence rate was 2.27% in the experimental group, which was significantly lower in the trial group than in the control group (蠂 2 / 8.4156 / P 0.05), and the improvement of pulmonary function in the trial group was better than that in the control group. The excellent and good rate of lung function in the trial group was significantly higher than that in the control group (91.91% vs 61.36%, 蠂 ~ 2 = 10.5700, P 0.05). Conclusion Nursing intervention in COPD patients can significantly reduce the incidence of infection, improve lung function and reduce the recurrence rate. This measure is a safe and efficient method and should be popularized in clinic.
【作者单位】：贵州省黔东南州人民医院医保科;江苏省人民医院内科;
【基金】：江苏省自然科学基金资助项目(BK2010577)
【分类号】：R563.9

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