脑卒中患者耐甲氧西林金黄色葡萄球菌感染的综合护理干预

Comprehensive nursing intervention to patients with cerebral apoplexy glucose methicillin-resistant Staphylococcus aureusi nfection

目的调查分析脑卒中患者耐甲氧西林金黄色葡萄球菌感染的情况,探讨对脑卒中患者实施综合护理干预的临床治疗效果。方法选取2010年6月-2013年6月收治有脑血管病史的脑卒中且入院后发生耐甲氧西林金黄色葡萄球菌感染患者78例,作为临床研究对象,将所有患者随机分为试验组、对照组,每组各39例,试验组患者采用综合护理干预,对照组患者采用常规护理干预;对患者术后进行随访,记录并比较两组患者对医护人员护理工作满意度评分及两组患者护理质量,采用SPSS 15.0软件进行分析。结果患者感染率、病死率及护理差错发生率试验组分别为0、7.69%、5.13%均明显低于对照组患者15.38%、25.64%、33.33%,差异有统计学意义(P<0.05);试验组患者对医护人员护理工作满意度评分均明显优于对照组。结论脑卒中患者耐甲氧西林金黄色葡萄球菌感染后应用综合护理干预能有效降低患者病死率、感染率及护理差错发生率,在一定程度上提高患者的临床护理质量,患者对医护人员护理工作均有较高的满意度评分。

OBJECTIVE To understand the situation of stroke patients methicillin-resistant Staphylococcus aureus （MRSA） infections and explore the implementation of integrated care for stroke patients in clinical treatment inter-vention .METHODS A total of 78 cases of patients with glucose MRSA infection were selected after hospitalization admission as cerebral apoplexy patients in our hospital from Jun .2010 to Jun .2013 as the clinical study objects . All patients were divided randomly into treatment group and control group ,with 39 cases in each group .Treat-ment group treated by comprehensive nursing intervention ,while the control group treated by routine nursing intervention .For patients with postoperative follow-up ,the two groups of patients satisfaction score for medical staff nursing job and the quality of care for two groups of patient were recorded and compared .SPSS15 .0 software was used for statistical analysis .RESULTS The infection rate ,mortality rate ,and error rate （0 .0% ,7 .69% , 5 .13% ） in treatment group were significantly lower than those in control group （15 .38% ,25 .64% ,33 .33% ） , and the difference were significant （P＆lt;0 .05） .The satisfaction scores of patients in treatment group to all medical staff job were significantly better than that in control group .CONCLUSION Apply comprehensive nursing inter-vention to stroke patients after they are infected with MRSA ,which can effectively reduce the patients mortality , infection rate and the incidence of errors ,and to a certain extent ,improve the quality of the patient′s clinical care . And the patients all have higher satisfaction ratings to the medical staff＆#39;s nursing work .