循证干预对股骨粗隆间骨折患者肺部感染的预防效果研究

Effect of evidence-based interventions on prevention of pulmonary infections in patients with femoral intertrochanteric fracture

目的采用循证干预对股骨粗隆间骨折患者发生肺部感染的可能性进行预测性分析,以减少股骨粗隆间骨折患者发生肺部感染的可能性。方法选取2012年4月-2013年6月180例股骨粗隆间骨折患者,随机分为两组,分别为观察组和对照组,每组90例患者,两组患者的性别和年龄分布与治疗方式等差异均无统计学意义;对照组给予常规的护理措施,观察组给予循证干预措施的治疗方式。结果通过循证支持得出患者肺部感染的影响因素为呼吸系统功能衰退、易误吸和缺乏有效的咳嗽;观察组股骨粗隆间骨折患者的肺部感染率为11.1%,明显低于对照组的28.9%,差异均有统计学意义;观察组患者呼吸功能的临床观察指标评分优于对照组,两者差异有统计学意义。结论通过循证干预措施可以明显的减少股骨粗隆间骨折患者肺部感染的发生。

OBJECTIVE To predict the pulmonary infections in the patients with femoral intertrochanteric fracture by means of the evidence-based interventions so as to reduce the incidence of pulmonary infections in the patients with femoral intertrichanteric fracture. METHODS From Apr 2012 to Jun 2013 ,a total of 180 patients with femo-ral intertrochanteric fracture were enrolled in the study and randomly divided into the observation group and the control group ,with 90 cases in each ;there was no statistically significant difference in the gender ,age ,or treat-ment approach between the two groups ,the control group was treated with conventional nursing measures ,and the observation group was given the evidence-based intervention. RESULTS The evidence-based supporting conclu-ded that the declined respiratory system function ,aspiration ,and lack of effective cough were the influencing fac-tors for the pulmonary infections. The incidence of pulmonary infections in the patients with femoral intertrochan-teric fracture of the observation group was 11. 1% ,significantly lower than 28. 9% of the control group ,there was statistically significant difference. The clinical observation indicators scores of respiratory function of the observa-tion group were higher than those of the control group ,there was statistically significant difference between the two groups. CONCLUSION The evidence-based interventions can contribute to the significant reduction of incidence of pulmonary infections in the patients with femoral intertrochanteric fracture.