有效干預(yù)措施對預(yù)防慢性阻塞性肺疾病患者醫(yī)院感染的臨床效果研究
本文選題:護理干預(yù) 切入點:感染 出處:《中華醫(yī)院感染學(xué)雜志》2014年14期
【摘要】:目的分析護理干預(yù)對慢性阻塞性肺疾病(COPD)患者感染預(yù)防效果。方法回顧性分析2010年4月-2011年9月收治的88例COPD患者臨床資料,將接受常規(guī)護理44例患者作為對照組,在常規(guī)護理基礎(chǔ)上接受護理干預(yù)44例患者作為試驗組,所得數(shù)據(jù)通過SPSS16.0軟件進行統(tǒng)計分析,對比分析兩組患者感染的發(fā)生、肺功能改善程度及復(fù)發(fā)等。結(jié)果試驗組2例發(fā)生感染,感染率為4.55%;對照組13例發(fā)生感染,感染率為29.55%,試驗組明顯低于對照組,兩組差異有統(tǒng)計學(xué)意義(χ2=9.7241,P0.05);半年內(nèi)COPD復(fù)發(fā)對照組10例復(fù)發(fā)率22.73%,試驗組復(fù)發(fā)1例復(fù)發(fā)率2.27%,試驗組明顯低于對照組(χ2=8.4156,P0.05);試驗組患者的肺功能改善程度優(yōu)于對照組,治療護理后試驗組患者肺功能優(yōu)良率為91.91%顯著高于對照組的61.36%(χ2=10.5700,P0.05)。結(jié)論對COPD患者實施護理干預(yù),可顯著降低感染的發(fā)生率、顯著改善肺功能,降低復(fù)發(fā)率,該項措施是一種安全高效的方法,應(yīng)在臨床推廣。
[Abstract]:Objective to analyze the effect of nursing intervention on the prevention of infection in patients with chronic obstructive pulmonary disease (COPD). Methods the clinical data of 88 patients with COPD from April 2010 to September 2011 were analyzed retrospectively, 44 patients received routine nursing as control group. On the basis of routine nursing, 44 patients received nursing intervention as experimental group. The data were statistically analyzed by SPSS16.0 software, and the incidence of infection was compared between the two groups. Results the infection rate was 4.55 in 2 cases in the experimental group, and 29.55 in 13 cases in the control group, which was significantly lower than that in the control group. There was significant difference between the two groups (蠂 2 / 9.7241 / P 0.05), the recurrence rate of 10 cases in the COPD recurrence control group was 22.73%, and the recurrence rate was 2.27% in the experimental group, which was significantly lower in the trial group than in the control group (蠂 2 / 8.4156 / P 0.05), and the improvement of pulmonary function in the trial group was better than that in the control group. The excellent and good rate of lung function in the trial group was significantly higher than that in the control group (91.91% vs 61.36%, 蠂 ~ 2 = 10.5700, P 0.05). Conclusion Nursing intervention in COPD patients can significantly reduce the incidence of infection, improve lung function and reduce the recurrence rate. This measure is a safe and efficient method and should be popularized in clinic.
【作者單位】: 貴州省黔東南州人民醫(yī)院醫(yī)?;江蘇省人民醫(yī)院內(nèi)科;
【基金】:江蘇省自然科學(xué)基金資助項目(BK2010577)
【分類號】:R563.9
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