整体护理在有感染因素的血液病患者中的应用效果分析

Application effect of overall care for blood disease patients with risk factor for infection

目的观察并探讨整体护理在有感染因素的血液病患者中的应用效果。方法选择2011年10月～2012年10月淮北矿工总医院血液科治疗的血液疾病且有感染危险的患者112例,随机分为实验组和对照组,每组各56例。实验组患者开展整体护理,而对照组患者仅开展血液科常规护理,观察护理效果。结果实验组中出现下呼吸道感染6例(10.7%),败血症4例(7.1%),口腔黏膜感染2例(3.6%),肛周感染2例(3.6%),总感染率为25.0%(14/56);对照组中出现下呼吸道感染12例(21.4%),败血症8例(14.2%),口腔黏膜感染6例(10.7%),肛周感染2例(3.6%),总感染率为50.0%(28/56)。实验组总感染率明显低于对照组,差异有统计学意义(P<0.05)。结论整体护理干预在对有感染因素的血液疾病患者的护理过程中取得了显著的成效,减少了感染的发生,值得在临床上得到进一步推广与普及。

Objective To explore the effect of overall care for blood disease patients with risk factor for infection. Methods 112 cases of blood disease with risk factor for infection from October 2011 to October 2012 in Department of Hematology of Miners General Hospital of Huaibei were selected and divided into experiment group and control group randomly with 56 patients in each group. Experiment group was treated with overall care,while the control group was only treated with routine hematology nursing,the nursing efficacy was observed. Results 6 cases（10.7%） with lower respiratory infection,4 cases（7.1%） with septicemia,2 cases（3.6%） with oral mucosa infection,2 cases（3.6%） with crissum infection were found in experiment group,the total infection rate was 25.0%（14/56）. 12 cases（21.4%） with lower respiratory infection,8 cases（14.2%） with septicemia,6 cases（10.7%） with oral mucosa infection,2 cases（3.6%） with crissum infection were found in control group,the total infection rate was 50.0%（28/56）. The total infection rate in experiment group was lower than that in control group,the difference was statistically significant（P 0.05）. Conclusion Overall care for blood disease patients with risk factor for infection has achieved remarkable results,reduce the incidence of infection,thus it is worthy of further clinical popularization.