循证护理在重型颅脑损伤合并肺部感染患者中的应用效果观察

Effect of Evidence-based Nursing on Severe Head Injury and Lung Infection

目的探讨循证护理对重型颅脑损伤患者合并肺部感染的临床效果。方法收集2011年6月至2012年10月我院住院部重型颅脑损伤合并肺部感染患者100例,按照数字随机法分为观察组及对照组,观察组从气道护理,肠内营养护理,卧床护理及医务、外来人员的手消毒护理几个方面进行重点循证,寻找重型颅脑损伤致肺部感染原因,并给予针对性护理;对照组常规护理。随访两个月,观察两组重型颅脑损伤患者合并肺部感染的治愈率及住院费用。结果观察组重型颅脑损伤患者合并肺部感染治愈率明显高于对照组(P<0.05),住院费用明显低于对照组(P<0.05)。结论循证护理能显著改善颅脑损伤患者合并肺部感染的状况,并且节省了医疗资源,值得临床推广应用。

Objective To investigate the effect of evidence-based nursing on severe head injury and lung infection. Methods 100 cases of severe head injury and lung infection patients were selected from June 2011 to October 2012 and randomly divided into the observation group and the control group （50 cases each）. The control group was given routine obstetric nursing, and the observation group was given evidence-based nursing on the basis of control group. Effect was compared between the two groups. Results The severe head injury and lung infection cure rate of observation group was significantly higher （P 〈0.05）, the amount of hospitalization costs was significantly lower than that in the control group （P 〈0.05）. Conclusions Evidence-based nursing is worthy of clinical application as it can significantly improve the cure rate of severe head injury and lung infection.