摘要
目的分析脑卒中患者并发肺部感染的影响因素，为临床康复护理提供依据。方法选取2015年1—12月南华大学附属第一医院康复医学科收治的237例脑卒中患者为研究对象，对其年龄、性别、意识障碍、肺部基础疾病、吞咽障碍、日常生活活动能力（ADL）等相关因素进行统计分析。结果237例脑卒中患者发生肺部感染66例，感染率为27．8％；脑卒中并发肺部感染与卒中类型、意识障碍、高血压、肺部基础疾病、白蛋白含量、留置胃管、质子泵抑制剂使用、吞咽障碍、长期卧床、ADL密切相关，差异均有统计学意义（P〈0．05）；Logistic回归结果发现：性别、意识障碍、肺部基础疾病、吞咽障碍和ADL是影响肺部感染发生的独立危险因素。结论脑卒中患者并发肺部感染的影响因素较多，性别、意识障碍、肺部基础疾病、吞咽障碍和ADL是影响肺部感染发生的独立危险因素，护理人员应针对以上因素早期给予康复护理措施，以降低肺部感染的发生率。
Objective To explore the influencing factors of pulmonary infection in patient with stroke, in order to provide the basis for clinical rehabilitation nursing. Methods A total of 237 patients with stroke who were treated in hospitalsfrom January 2015 to December 2015, were enrolled in the study. To analysis the effect of several influencing factors such as age, sex, consciousnessdisorders, pulmonary diseases, swallowing disorder and the activities of daily living（ADL）. Results Of the 237 patients, 66 were complicated with pulmonary infection, and the incidence rate of pulmonary infection was 27.8%. Thepulmonary infection in patients with stroke was associated with swallowing disorder, hypertension, pulmonarydiseases, albumin,stomach pipe retaining, proton pump, swallowing disorder, long bedridden and ADL. These results had significantly deference （P〈0.05）. The logistic regression analysis showed that the independent risk factors for sex, consciousnessdisorders, pulmonarydiseases, swallowing disorder and ADL. Conclusions The influencing factors were existed in pulmonary infection in patients with stroke. The independent risk factors for pulmonary infection in patient with stroke included sex, consciousnessdisorders, pulmonarydiseases, swallowing disorder and ADL. In the above some factors, nurse should be providingrehabilitation nursing measure to reduce the incidence rate of pulmonary infection.
出处
《中国实用护理杂志》
2017年第36期2811-2814,共4页
Chinese Journal of Practical Nursing
基金
国家自然科学基金面上项目（81674045）
湖南省自然科学基金立项计划（2017JJ3272）
湖南省教育厅优秀青年项目（178232）
关键词
卒中
肺部感染
因素分析
康复护理
Stroke
Pulmonary infection
Influencing factors
Rehabilitation nursing
