老年感染耐甲氧西林金黄色葡萄球菌肺炎患者的护理

Nursing of elderly pneumonia patients with methicillin-resistant staphylococcus aureus

目的探讨老年感染耐甲氧西林金黄色葡萄球菌(MRSA)肺炎患者的护理。方法回顾性分析16例老年MRSA肺炎患者,进行早期诊断、分析,通过进行病区内的严格消毒隔离,从用药、环境、营养、基础、心理等方面为患者提供全面的护理,及时总结和分析经验。结果 9例患者细菌培养转为阴性,4例无症状带菌(定植),3例因心力衰竭死亡,未发生MRSA感染暴发流行事件,医护人员未发生交叉感染。结论积极的治疗和精心的护理,对促进患者恢复,防止MRSA感染暴发流行和医护人员交叉感染,提高护理质量、提升护理满意率有着重要的作用。

Objective To explore nursing of elderly pneumonia patients with methicillin-resistant staphylococcus aureus.Methods Retrospective analysis of 16 cases of elderly patients with MRSA pneumonia was conducted.Through early diagnosis and analysis,we tended to provide comprehensive nursing to patients in terms of strict disinfection and isolation in wards,drug use,environment,nutrition,foundation,psychological aspects.Timely summary and analysis of experience were done afterwards.Results Nine patients had negative germiculture,and four cases had asymptomatic pathogen.Three patients died of heart failure.There was no MRSA epidemic.No cross-infection occurred among medical staff.Conclusion Active treatment and meticulous nursing is important in promoting patients＇ recovery,preventing the occurrence of MRSA infection and cross-infection of medical staff,and increasing nursing quality and patients＇ satisfaction.