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呼吸重症患者院内感染的护理干预

Nursing Intervention of Nosocomial Infection in Patients With Severe Respiratory Syndrome
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摘要 目的分析总结呼吸重症患者护理中预防院内感染的护理干预措施,以降低院内感染的发生。方法将2016年4月—2017年6月由我院收治的138例呼吸重症患者作为研究对象,将所有患者采用随机数字表法随机分为对照组和干预组,每组69例。其中对照组患者给予常规呼吸道护理、抗生素用药护理等护理干预措施,干预组患者同时给予具有针对性的院内感染预防护理干预措施。比较两组患者院内感染事件发生率、住院时间、住院费用以及对护理服务的满意度。结果干预组患者呼吸道院内感染发生率为2.90%,低于对照组的14.49%(P<0.05);干预组患者住院时间为(14.39±7.21)d,住院费用为(10 712.51±279.37)元,均低于对照组的(23.57±7.02)d和(16 921.77±269.53)元(P<0.05);干预组患者对护理服务的满意度为95.65%,高于对照组的78.26%(P<0.05)。结论呼吸科是院内感染发生风险极高的科室,对呼吸重症患者采取有针对性的院内感染护理干预措施,可有效降低院内感染的发生率,提高治疗效果,同时缩短患者的住院时间,降低治疗费用,还有利于提高患者对于医院和满意度。 Objective To analyze and summarize the nursing intervention measures to prevent nosocomial infection in patients with severe respiratory diseases so as to reduce the incidence of nosocomial infection.Methods From April 2016 to June 2017,138 patients with severe respiratory diseases were treated in our hospital,they were randomly divided into the control group and the intervention group,69 cases in each group.Control group were given routine respiratory care,antibiotics,care and other nursing interventions,intervention group were given preventive nursing intervention at the same time.The incidence of nosocomial infection,hospital stay,hospitalization expenses and satisfaction with nursing services were compared between the two groups.Results The incidence rate of nosocomial infection in respiratory tract of intervention group was 2.90%,less than 14.49% in the control group(P〈0.05);The hospitalization time of the intervention group was(14.39±7.21) d,the cost of hospitalization was(10 712.51±279.37) yuan,were lower than those in the control group(23.57±7.02) d and(16 921.77±269.53) yuan(P〈0.05);The satisfaction rate of the patients in the intervention group was 95.65%,was 78.26% higher than that in the control group(P〈0.05).Conclusion Department of respiration is a high risk department nosocomial infection of patients with severe respiratory take nursing intervention measures for nosocomial infection,which can effectively reduce the incidence of nosocomial infection,improve the therapeutic effect,and shorten the hospitalization time,reduce the cost of treatment,and to improve the patients to the hospital and satisfaction.
出处 《中国继续医学教育》 2017年第20期205-207,共3页 China Continuing Medical Education
关键词 呼吸科 呼吸重症患者 院内感染 护理 department of respiration severe respiratory syndrome nosocomial infection nursing care
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