多准则决策分析法对骨折患者肺部感染的影响

发布时间：2018-04-03 02:13

本文选题：多准则决策分析法　切入点：骨折　出处：《中华医院感染学杂志》2017年23期

【摘要】：目的研究多准则决策分析法对住院骨折患者肺部感染的影响。方法选取2013年6月-2016年5月于医院接受治疗的168例住院骨折患者,按治疗时间分为两组,于2013年6月-2014年11月接受治疗的87例住院骨折患者为常规组,于2015年12月-2016年5月接受治疗的81例住院骨折患者为试验组,常规组采用常规的治疗与干预方法,试验组采用多准则决策分析法为患者建立集束化干预策略;统计两组患者感染率,分析感染患者的病原菌分布,分析比较两组机械通气时间、治疗依从性、治疗中不良事件发生率及医护人员操作规范程度。结果常规组感染19例感染率为21.83%,高于试验组感染9例感染率为11.11%(P0.05);28例感染患者分离出168株病原菌,以革兰阴性菌为主,共141株占83.93%;试验组患者的机械通气时间、治疗依从性、不良事件发生率及操作规范程度均优于常规组患者(P0.05)。结论利用多准则决策分析法所做出的集束化干预策略对住院骨折患者的肺部感染有着较好的预防作用,通过科学决策制定较有效的干预策略,提高医护人员治疗操作规范程度,减少不良事件发生率,提高患者治疗依从度,最终达到降低住院骨折患者的肺部感染率的目的。
[Abstract]:Objective to study the effect of multi-criteria decision analysis on pulmonary infection in patients with fracture.Methods 168 hospitalized fracture patients who were treated in hospital from June 2013 to May 2016 were divided into two groups according to the time of treatment. 87 patients received treatment from June 2013 to November 2014 were selected as routine group.From December 2015 to May 2016, 81 patients with fracture in hospital were treated as trial group, routine treatment and intervention methods were used in routine group, and cluster intervention strategy was established in test group by multi-criteria decision analysis method.The infection rate of the two groups was analyzed and the distribution of pathogenic bacteria in the infected patients was analyzed. The time of mechanical ventilation, the compliance of treatment, the incidence of adverse events in the treatment and the standard degree of operation of medical staff were analyzed and compared between the two groups.Results the infection rate of 19 cases in the routine group was 21.83%, which was higher than that in the test group (11.11%, P 0.05). 168 strains of pathogenic bacteria were isolated from 28 cases of infection, 141 strains were mainly Gram-negative bacteria, and the mechanical ventilation time and therapeutic compliance of the patients in the test group were 83.93%.The incidence of adverse events and the degree of standard operation were better than those of routine group (P 0.05).Conclusion the cluster intervention strategy made by multi-criteria decision analysis method has a better preventive effect on pulmonary infection in patients with fracture. The more effective intervention strategy can improve the standard degree of treatment operation of medical staff through scientific decision making.To reduce the incidence of adverse events, improve the compliance of patients with treatment, and ultimately reduce the lung infection rate of patients with fracture.
【作者单位】：山东省滨州市中心医院护理部;
【分类号】：R563.1;R683

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