本文關(guān)鍵詞：目標(biāo)設(shè)定結(jié)合互動(dòng)宣教對(duì)骨科住院患者肺部感染的預(yù)防效果研究　出處：《中華醫(yī)院感染學(xué)雜志》2017年21期 　論文類型：期刊論文

  更多相關(guān)文章： 目標(biāo)設(shè)定 互動(dòng)宣教 骨科 肺部感染

【摘要】：目的研究目標(biāo)設(shè)定結(jié)合互動(dòng)宣教對(duì)住院骨科患者肺部感染的預(yù)防控制效果,降低骨科住院患者的肺部感染率。方法選擇2015年1月-12月醫(yī)院接受住院治療的骨科患者2158例作為對(duì)照組,選擇2016年1月-12月醫(yī)院接受住院治療的骨科患者2115例作為試驗(yàn)組;對(duì)照組患者進(jìn)行常規(guī)宣教,試驗(yàn)組患者在對(duì)照組的基礎(chǔ)上采用目標(biāo)設(shè)定結(jié)合互動(dòng)宣教,比較兩組患者的肺部感染率、呼吸功能鍛煉依從性、呼吸功能和干預(yù)滿意度,分析其病原菌構(gòu)成。結(jié)果對(duì)照組患者2158例,發(fā)生肺部感染31例,感染率為1.44%,試驗(yàn)組患者2115例,發(fā)生肺部感染6例,感染率為0.28%,差異有統(tǒng)計(jì)學(xué)意義(P0.05);37例肺部感染患者共分離出病原菌49株,其中真菌10株,占20.41%,革蘭陽性菌13株,占26.53%,革蘭陰性菌27株,占55.10%;試驗(yàn)組患者按時(shí)做縮唇呼吸鍛煉例數(shù)占90.97%,明顯多于對(duì)照組,深呼吸鍛煉按時(shí)做例數(shù)占90.59%,明顯多于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。試驗(yàn)組患者的呼吸功能指標(biāo)評(píng)分,肺部Up音、咳嗽程度和痰液黏稠度評(píng)分分別為(0.53±0.44)分、(0.41±0.36)分、(0.72±0.49)分,明顯低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。試驗(yàn)組患者總滿意率為95.84%,對(duì)照組患者總滿意率為85.03%(P0.05)。結(jié)論住院骨科患者發(fā)生肺部感染的病原菌主要為革蘭陰性菌,目標(biāo)設(shè)定結(jié)合互動(dòng)宣教可以降低住院骨科患者的肺部感染率,提高患者的呼吸功能鍛煉依從性和呼吸功能,患者對(duì)干預(yù)滿意度較高。
[Abstract]:Objective to study the effect of prevention and control of pulmonary infection in orthopaedic inpatients with the combination of goal setting and interactive education. Methods from January 2015 to December, 2158 orthopedic patients were selected as control group. From January 2016 to December, 2 115 orthopaedic patients admitted to hospital from January 2016 to December were selected as trial group. The patients in the control group were given routine education, the patients in the test group were compared the lung infection rate and the compliance of respiratory function exercise with the combination of goal setting and interactive education on the basis of the control group. Results there were 2158 cases in control group, 31 cases in pulmonary infection, the infection rate was 1.44%, 2115 cases in test group. Pulmonary infection occurred in 6 cases, the infection rate was 0.28%, the difference was statistically significant (P 0.05). A total of 49 strains of pathogenic bacteria were isolated from 37 patients with pulmonary infection, including 10 strains of fungi (20.41%), 13 strains of Gram-positive bacteria (26.53%) and 27 strains of Gram-negative bacteria (55.10%). The number of patients in the test group who did lip contraction breathing exercise on time accounted for 90.97, which was obviously more than that in the control group, while the number of deep breathing exercise on time accounted for 90.59, which was obviously more than that in the control group. The difference was statistically significant (P 0.05). The scores of respiratory function, lung up, cough and sputum viscosity in the experimental group were 0.53 鹵0.44 respectively. The score of 0.41 鹵0.36) was 0.72 鹵0.49, which was significantly lower than that of the control group (P 0.05). The total satisfaction rate of the patients in the trial group was 95.84%. The total satisfaction rate of the patients in the control group was 85.03. Conclusion the main pathogens of pulmonary infection in orthopedic patients were Gram-negative bacteria. Goal setting combined with interactive education can reduce the pulmonary infection rate of orthopaedic inpatients and improve the compliance and respiratory function of patients with respiratory function exercise. The patients' satisfaction with intervention is higher.
【作者單位】： 重慶市綦江區(qū)人民醫(yī)院骨科;重慶市綦江區(qū)人民醫(yī)院感染科;重慶市綦江區(qū)人民醫(yī)院消化內(nèi)分泌科;
【分類號(hào)】：R473.6
【正文快照】： 骨科住院患者大多需長(zhǎng)期臥床休息,尤其是老年患者,自身免疫力較差,容易發(fā)生肺部感染。我國(guó)醫(yī)院肺部感染的發(fā)生率較高,在醫(yī)院感染中居首位[1-3]。造成骨科住院患者發(fā)生肺部感染的原因較多,如不合理使用抗菌藥物、侵入性操作、醫(yī)療用品污染、呼吸道的分泌物發(fā)生墜積等[4]。脊柱

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