包床到护工作模式对降低开胸术后肺部感染的效果研究

目的探讨包床到护工作模式对降低开胸术后肺部感染的效果。方法将本科2011年03月-07月未实施包床到护的209名开胸手术患者作为对照组，2012年同期实施包床到护的173名开胸手术患者作为实验组，观察2组患者术后肺部感染的发生率及胸管带管时间。结果 对照组开胸术后肺部感染发生率19．14％，实验组开胸术后肺部感染发生率4．62％，2组差异有统计学意义（X^2=18．15，P〈0．01）；对照组延期拔管率35．9％，实验组延期拔管率26．0％，2组差异有统计学意义（X^2=4．28，P〈0．05）。结论包床到护工作模式可以降低开胸术后肺部感染，缩短胸管带管时间。

Object Discuss the effects of bed implementation nursing working mode which decreases the lung infection after open chest sur- gery. Method In March 2011 to July,ihe 209 open chest surgery patients were no bed implementation nursing as control group. At the same time implement bed nursing to the care the 173 patients with open chest surgery as experimental group, observe two groups the incidence of postoperative pulmonary infection in patients and. Result The control group the of PTPI after open chest surgery was 19.14%, the experi- mental group PTPI postoPerative morbidity was 4.62% after open chest surgery/the difference in the two groups was statistically significant （ X^2= = 18.15 ,P〈0.01 ） , the control group delayed tube drawing was 35.9% , the experimental group delayed was tube drawing 26.0% , two groups was statistically significant difference（ X^2= = 4.28, P〈0.05 ）. Conclusion Bed ~mplementation nursing working mode can reduce the incidence of postoperative lung infection after open chest surgery, shortening the time with chest tube.