糖尿病患者肺部真菌感染的护理

Nursing measures for pulmonary fungal infections in diabetes patients

目的探讨糖尿病患者肺部真菌感染护理措施的干预效果,为临床诊治提供参考依据。方法选取2009年6月-2013年6月医院收治的糖尿病合并肺部真菌感染患者52例,使用随机数字表法将患者分成观察组与治疗组,每组各26例,对照组应用常规护理,观察组在对照组治疗与护理基础上对患者进行综合护理干预,对比分析两组患者的临床护理效果;采用SPSS19.0软件进行统计分析。结果共分离出真菌52株,以白色假丝酵母菌为主,31株占59.62%,观察组IgG、IgA、补体C3分别为(10.13±0.62)、(2.83±0.12)、(1.63±0.62)g/L,对照组分别为(12.63±1.13)、(2.23±0.72)、(1.17±0.28)g/L,观察组患者各项免疫指标在实施治疗和护理后优于对照组,两组比较差异有统计学意义(P<0.05);观察组住院时间、护理满意度分别为(19.63±3.62)d、92.31%,对照组(29.17±7.72)d、57.69%,观察组患者住院时间与临床护理满意度均优于对照组,两组比较差异有统计学意义(P<0.05)。结论糖尿病合并肺部真菌感染主要以白色假丝酵母菌为主,应合理选用抗菌药物,给予患者综合护理干预可以缩短住院时间、改善患者免疫学指标及护理满意度。

OBJECTIVE To explore the interventional effect of nursing measures on prevention of pulmonary fungal infections in patients with diabetes so as to provide guidance for clinical diagnosis and treatment.METHODS A total of 52diabetes patients complicated with pulmonary fungal infections,who were treated in the hospital from Jun 2009to Jun 2013,were enrolled in the study and randomly divided into the observation group and the treatment group,with 26cases in each,then the control group was treated with conventional nursing,the observation group was treated with additional comprehensive nursing intervention on the basis of the conventional nursing in the control group,the clinical nursing effect was observed and compared between the two groups,and the statistical analysis was performed with the use of SPSS19.0software.RESULTS Totally 52strains of fungi have been isolated, among which the Candida albican was dominant,accounting for 59.62%（31strains）.The level of IgG was（10. 13±0.62）g/L in the observation group,（12.63±1.13）g/L in the control group;the level of IgA was（2.83 ±0.12）g/L in the observation group,（2.23±0.72）g/L in the control group;the level of complement C3was（1.63±0.62）g/L in the observation group,（1.17±0.28）g/L in the control group;after the implementation of the nursing measures,the immune indicators of the observation group were better than those of the control group, the differences between the two groups were significant（P＆lt;0.05）.The length of hospital stay was（19.63 ±3.62）days in the observation group,significantly shorter than（29.17±7.72）days in the control group;the satisfaction with the nursing was 92.31%in the observation group,significantly higher than 57.69%in the control group,（P＆lt;0.05）.CONCLUSIONC.albicansis the predominant species of fungus causing the pulmonary fungal infection in the diabetes patients.It is necessary to reasonably use antibiotics and conduct the comprehensive nursing intervention so as to shorten the length of hospital stay and improve the immunological indicators as well as the satisfaction with the nursing.