針對性護理干預預防ICU腦出血患者肺部感染的效果觀察

　　[摘要] 目的 探討護理干預對ICU腦出血患者預防肺部感染的應用效果。 方法 選擇2016年1月～2017年5月在我院ICU住院治療的腦出血患者160例為研究對象，所有患者在入住ICU時無肺部感染。按照入院單雙號分為觀察組與對照組各80例。對照組給予常規(guī)護理，觀察組給予針對性護理。比較兩組肺部感染發(fā)生率，低氧血癥、誤吸發(fā)生率，統(tǒng)計平均住ICU時間、死亡率；統(tǒng)計兩組患者并發(fā)癥發(fā)生率，比較兩組護理滿意度。 結(jié)果 觀察組肺部感染發(fā)生率顯著低于對照組，低氧血癥、誤吸發(fā)生率也顯著低于對照組，差異有統(tǒng)計學意義（P<0.05）；觀察組平均入住ICU時間顯著短于對照組，差異有統(tǒng)計學意義（P<0.05）。觀察組傷口感染、導管阻塞、脫管等并發(fā)癥發(fā)生率低于對照組，差異有統(tǒng)計學意義（P<0.05）。觀察組護理滿意情況顯著優(yōu)于對照組，差異有統(tǒng)計學意義（P<0.05）。 結(jié)論 針對性護理干預能夠有效預防ICU腦出血患者肺部感染，減少其他并發(fā)癥的發(fā)生率，縮短患者住院時間，提高護理滿意度。
　　[關(guān)鍵詞] 針對性護理干預；ICU；腦出血；肺部感染；預防
　　[中圖分類號] R473.5 [文獻標識碼] B [文章編號] 1673-9701（2018）08-0147-03
　　Effectiveness of targeted nursing intervention on preventing patients with cerebral hemorrhage in ICU from pulmonary infection
　　MENG Qi
　　Fushun Central Hospital in Liaoning Province，F(xiàn)ushun 113006，China
　　[Abstract] Objective To investigate the effectiveness of targeted nursing intervention on preventing patients with cerebral hemorrhage in ICU from pulmonary infection. Methods 160 inpatients with cerebral hemorrhage in ICU of our hospital from January 2016 to May 2017 were selected. All patients were without lung infection when admitted to ICU. They were divided into observation group and control group according to the odd-even number of admission， with 80 cases in each group. Patients in control group received routine nursing care. Patients in observation group received targeted nursing care. The incidence of lung function， hypoxemia and aspiration was compared between two groups. The average time of ICU， death rate and the incidence of complications were statistically analyzed. The satisfaction rates of nursing care were compared between two groups. Results The incidence of lung infection， hypoxemia and aspiration in observation group was significantly higher than that in control group（P<0.05）.The average time of ICU in observation group was statistically shorter than that in control group（P<0.05）. The incidence of complications（wound infection， catheter obstruction and falling off）in observation group was significantly less than that in control group（P<0.05）. The satisfaction rate of nursing care in observation group was higher than that in control group statistically（P<0.05）. Conclusion Targeted nursing intervention could prevent patients with cerebral hemorrhage in ICU from pulmonary infection effectively， reduce the incidence of complication and the time of hospitalization as well as improve the satisfaction rate of nursing care.
　　[Key words] Targeted Nursing Intervention； ICU； Cerebral Hemorrhage； Pulmonary Infection； Prevention

相關(guān)熱詞搜索：腦出血 肺部 干預 針對性 護理