有效干预措施对预防慢性阻塞性肺疾病患者医院感染的临床效果研究

Clinical effect of effective interventions on prevention of nosocomial infections in patients with chronic obstructive pulmonary disease

目的分析护理干预对慢性阻塞性肺疾病(COPD)患者感染预防效果。方法回顾性分析2010年4月-2011年9月收治的88例COPD患者临床资料,将接受常规护理44例患者作为对照组,在常规护理基础上接受护理干预44例患者作为试验组,所得数据通过SPSS16.0软件进行统计分析,对比分析两组患者感染的发生、肺功能改善程度及复发等。结果试验组2例发生感染,感染率为4.55%;对照组13例发生感染,感染率为29.55%,试验组明显低于对照组,两组差异有统计学意义(χ2=9.7241,P<0.05);半年内COPD复发对照组10例复发率22.73%,试验组复发1例复发率2.27%,试验组明显低于对照组(χ2=8.4156,P<0.05);试验组患者的肺功能改善程度优于对照组,治疗护理后试验组患者肺功能优良率为91.91%显著高于对照组的61.36%(χ2=10.5700,P<0.05)。结论对COPD患者实施护理干预,可显著降低感染的发生率、显著改善肺功能,降低复发率,该项措施是一种安全高效的方法,应在临床推广。

OBJECTIVE To study the effect of nursing intervention on prevention of infections in patients with chronic obstructive pulmonary disease（COPD）.METHODS A total of 88patients with COPD who were treated from Apr 2010to Sep were enrolled in the study,then the control group with 44patients were treated with conventional nursing,the experimental group with 44cases was given nursing interventions on the basis of the conventional nursing,the obtained data were statistically analyzed with the use of SPSS16.0software,the incidence of infections,improvement of pulmonary function,and recurrence were observed and compared between the two groups.RESULTS The infections occurred in 2cases in the experimental group with the infection rate of 4.55%and in 13cases in the control group with the infection rate of 29.55%,the incidence of infections was significantly lower in the experimental group than in the control group（χ2=9.7241,P〈0.05）.There were 10cases of recurrence of COPD within half a year in the control group and 1case in the experimental group,the recurrence rate of the experimental group was 2.27%,significantly lower than 22.73%of the control group（χ2=8.4156,P〈0.05）.The improvement of pulmonary function of the experimental group was better than that of the control group;after the treatment and nursing,the excellent and good rate of pulmonary function was 91.91%in the experimental group,significantly higher than 61.36%in the control group（χ2=10.5700,P〈0.05）.CONCLUSION The implementation of the nursing interventions can significantly reduce the incidence of infections,remarkably improve the pulmonary function,and reduce the recurrence rate of COPD,and it is an effective and safe method and worthy to be promoted in the hospital.