预见性护理在预防慢性阻塞性肺疾病急性加重期继发真菌感染的作用

Effect of predictive nursing care in the prevention of secondary fungal infection in the patients with COPD at acute exacerbation phase

目的:探讨预见性护理措施对慢性阻塞性肺疾病急性加重期(AECOPD)在预防真菌感染及病程预后的影响。方法:对将108例AECOPD患者分为实验组和对照组各54例,实验组患者加强预见性护理,对照组采用普通护理;两组患者均取其合格痰标本进行真菌培养,观察患者下呼吸道真菌感染及病情恢复情况。结果:观察组真菌检出2例(3.7%),对照组真菌检出10例(18.5%),实验组的真菌检出率明显高于对照组(P<0.05)。结论:采取积极有效的预见性护理对AECOPD的继发肺部真菌感染起到积极作用,减少并发症的发生,提高治愈率,值得临床推广。

Objective ： To explore the effect of predictive nursing measures on the disease course and prognosis in the prevention of secondary fungal infection in the patients with COPD at acute exacerbation phase. Methods： 108 patients with AECOPD were divided into experimental and control groups （54 cases for each group）. Predictive nursing care was strengthened in the experimental group and routine nursing care was taken in the control group. The qualified sputum specimens collected from the two groups were cultured. The fungal infection of the lower respiratory tract and patient＇s recovery were observed. Results： Two cases of fungal infection were detected in the experimental group （ 3.7% ） and 10 cases of fungal infection in the control group （ 18.5% ）, the detection rate of fungal infection in the experimental group was significantly higher than that in the control group （ P 〈 0.05 ）. Conclusion ： The positive and effective predictive nursing care plays an active role in the prevention of secondary pulmonary fungal infection in patients with AECOPD and it can reduce the incidence of complications and improve the cure rate. It is worthy of being used widely.